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 PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
Low
$13
Average
$463
Median
$83
High
$21.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
478 hospitals; the 90th percentile is 12.3× 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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590 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 10 | $475 | $426 | $114 | 27% | 13–22 | $185 – $512 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · bothfrom % of charges | 2 | $173 | $173 | — | — | 1–10 | $173 – $173 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $131 | $170 | $63 | 37% | — | $109 – $246 |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 7 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $150 | $150 | $11 | 7% | — | $140 – $161 |
| 9 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 10 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $150 | $150 | $11 | 7% | — | $140 – $161 |
| 12 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 6 | $101 | $124 | $66 | 54% | — | $57 – $257 |
| 13 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $543 | $560 | $29 | 5% | — | $534 – $609 |
| 14 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $553 | $567 | $28 | 5% | — | $540 – $614 |
| 15 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $533 | $549 | $29 | 5% | — | $522 – $597 |
| 16 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 4 | $547 | $561 | $28 | 5% | — | $534 – $608 |
| 17 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 18 | Alexian Brothers Medical Center Village, IL other · inpatient | 3 | $51 | $47 | $6 | 12% | — | $39 – $52 |
| 19 | Alexian Brothers Medical Center Village, IL other · outpatient | 3 | $51 | $53 | $12 | 23% | — | $39 – $68 |
| 20 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $57 | $57 | $37 | 65% | — | $20 – $93 |
| 21 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $68 | $50 | $25 | 51% | — | $14 – $68 |
| 22 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $68 | $50 | $25 | 51% | — | $14 – $68 |
| 23 | Ascension Cedar Park Park, TX fee schedule · outpatient | 5 | $140 | $135 | $35 | 26% | — | $69 – $171 |
| 24 | Ascension Providence Waco, TX fee schedule · outpatient | 3 | $146 | $125 | $41 | 33% | — | $68 – $160 |
| 25 | Ascension Providence Waco, TX other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
← Payers reporting CPT 0575T · Snapshot 20261113T090226Z-3ce6c0b8