Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC
Low
$0
Average
$2.3k
Median
$58
High
$22.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 577.0× 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.
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43 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 4 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 5 | Conway Hospital, Inc. Conway, SC professional · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 3 | $20 | $13 | $9 | 71% | — | $0 – $20 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $154 | $135 | $29 | 22% | — | $93 – $157 |
| 8 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 9 | Hamilton General Hospital Hamilton, TX percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | $15 | 28% | — | $40 – $70 |
| 10 | Henry Ford Health System West Bloomfield, MI professional · other · outpatient | 8 | $47 | $49 | $27 | 56% | — | $21 – $80 |
| 11 | Henry Ford Health System Plymouth, MI professional · other · outpatient | 12 | $21 | $34 | $27 | 80% | — | $11 – $80 |
| 12 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · other · outpatient | 8 | $47 | $49 | $27 | 56% | — | $21 – $80 |
| 13 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · other · outpatient | 8 | $47 | $49 | $27 | 56% | — | $21 – $80 |
| 14 | John H. Stroger, Jr. Hospital Chicago, IL fee schedule · both | 2 | $41 | $41 | $4 | 10% | — | $37 – $46 |
| 15 | LaSalle Parish Hospital Service District No. 1 Olla, LA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Morrison Community Hospital District Morrison, IL professional · fee schedule · both | 1 | $76 | $79 | $69 | 87% | — | $10 – $155 |
| 17 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 18 | Mount Carmel East Reynoldsburg, OH facility · other · outpatient | 1 | $22.9k | $22.9k | — | — | — | $22.9k – $22.9k |
| 19 | Newton Medical Center Newton, NJ other · outpatient | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 20 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · inpatient | 8 | $116 | $92 | $41 | 45% | — | $20 – $116 |
| 21 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 8 | $116 | $92 | $41 | 45% | — | $20 – $116 |
| 22 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 8 | $64 | $62 | $19 | 30% | — | $36 – $86 |
| 23 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | $0 | 0% | — | $89 – $90 |
| 24 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | $0 | 0% | — | $89 – $90 |
| 25 | Northside Hospital, Inc. Atlanta, GA fee schedule · inpatient | 8 | $116 | $92 | $41 | 45% | — | $20 – $116 |
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