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
HC 3D ANATOMIC GUIDE EA ADDTL
Low
$16
Average
$20
Median
$19
High
$30
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 1.2× 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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35 hospital rates
iThe hospitals that file a WellCare 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Fairview Health Services Edina, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 8 | Fairview Health Services Minneapolis, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 9 | Fairview Health Services Burnsville, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 10 | Fairview Health Services Wyoming, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Fairview Health Services Princeton, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 13 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 16 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 17 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 20 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | MaineHealth Brunswick, ME case rate · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 22 | MaineHealth Rockport, ME case rate · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 23 | MaineHealth Damariscotta, ME fee schedule · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 24 | MaineHealth North Conway, NH fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 25 | MaineHealth Portland, ME case rate · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
← Payers reporting CPT 0562T · Snapshot 20261113T090226Z-3ce6c0b8