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 INTER ICD SBSTRNL PROF EA 90DAYS
Low
$8
Average
$245
Median
$52
High
$13.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
104 hospitals; the 90th percentile is 15.5× 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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118 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $256 | $194 | $76 | 39% | — | $101 – $256 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $49 | $49 | $10 | 20% | — | $39 – $58 |
| 4 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $29 | $29 | — | — | — | $29 – $29 |
| 5 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 3 | $35 | $37 | $2 | 5% | — | $35 – $39 |
| 8 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $44 | $50 | $7 | 15% | — | $44 – $59 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 10 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 14 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 15 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $29 | $29 | — | — | — | $29 – $29 |
| 16 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $92 | $92 | — | — | — | $92 – $92 |
| 18 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 3 | $35 | $37 | $2 | 5% | — | $35 – $39 |
| 19 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $69 | $69 | $27 | 40% | — | $41 – $96 |
| 20 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 22 | Columbia St. Mary's, Inc. Glendale, WI fee schedule · both | 4 | $11.5k | $13.1k | $7.1k | 55% | — | $4.8k – $24.4k |
| 23 | Columbus Regional Hospital Columbus, IN per diem · both | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 24 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 2 | $155 | $155 | $4 | 2% | — | $151 – $158 |
| 25 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $10 | $14 | 141% | — | $0 – $29 |
← Payers reporting CPT 0578T · Snapshot 20261113T090226Z-3ce6c0b8