CDM PX-40276830001
Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Low
$95
Average
$182
Median
$152
High
$380
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 42 hospitals; the 90th percentile is 2.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $104 | $112 | $38 | 34% | 360–432 | $58 – $235 |
| 2 | Mercy Health Saint Marys Grand Rapids, MI | $102 | $103 | $28 | 28% | 292–328 | $58 – $161 |
| 3 | St Mary Mercy Livonia Livonia, MI | $104 | $111 | $39 | 35% | 254–317 | $57 – $234 |
| 4 | St Joseph Mercy Oakland Pontiac, MI | $104 | $112 | $42 | 37% | 194–248 | $57 – $240 |
| 5 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI | $103 | $113 | $40 | 35% | 180–243 | $58 – $235 |
| 6 | Saint Francis Hospital and Medical Center Hartford, CT | $436 | $380 | $115 | 30% | 166–247 | $116 – $436 |
| 7 | Samaritan Hospital Troy, NY | $288 | $231 | $77 | 33% | 156–192 | $128 – $300 |
| 8 | Mishawaka Medical Center Mishawaka, IN | $391 | $308 | $124 | 40% | 144–306 | $57 – $391 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA | $113 | $128 | $35 | 28% | 141–195 | $101 – $227 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA | $101 | $127 | $37 | 29% | 140–167 | $99 – $203 |
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