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
$0
Average
$1.3k
Median
$126
High
$34.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
222 hospitals; the 90th percentile is 22.6× 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.
Filter by billing methodology
Filter by billing class
263 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 | 8 | $316 | $318 | $10 | 3% | 28–46 | $309 – $340 |
| 2 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $254 | $266 | $22 | 8% | 11 | $254 – $304 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $131 | $170 | $63 | 37% | — | $109 – $246 |
| 4 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $130 | $130 | $9 | 7% | — | $121 – $139 |
| 5 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $130 | $130 | $9 | 7% | — | $121 – $139 |
| 6 | Ascension Cedar Park Park, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 7 | Ascension Providence Waco, TX fee schedule · outpatient | 2 | $74 | $74 | $4 | 5% | — | $70 – $77 |
| 8 | Ascension Providence Waco, TX other · outpatient | 2 | $59 | $59 | $7 | 11% | — | $52 – $65 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 10 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 11 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 12 | Ascension Seton Luling, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 13 | Ascension Seton Burnet, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 14 | Ascension Seton Smithville, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 15 | Ascension Seton Bastrop, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 16 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 17 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 5 | $107 | $103 | $26 | 25% | — | $54 – $130 |
| 18 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $74 | — | — | — | $74 – $74 |
| 19 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · outpatientfrom % of charges | 11 | $33 | $37 | $10 | 26% | — | $26 – $59 |
| 20 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 9 | $43.8k | $41.8k | $3.6k | 9% | — | $35.0k – $43.8k |
| 21 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $42 | $16 | 38% | — | $26 – $59 |
| 22 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 23 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 24 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 25 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
← Payers reporting CPT 0578T · Snapshot 20261113T090226Z-3ce6c0b8