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 PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP
Low
$17
Average
$103
Median
$80
High
$239
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 3.7× 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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21 hospital rates
iThe hospitals that file a Excellus 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 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $106 | $106 | $23 | 21% | — | $83 – $129 |
| 2 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $66 | $61 | $6 | 10% | — | $53 – $66 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 4 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 10 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 11 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 12 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 13 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $81 | $81 | — | — | — | $81 – $81 |
| 14 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 16 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $130 | $130 | $84 | 64% | — | $47 – $214 |
| 17 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 19 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 4 | $82 | $79 | $27 | 34% | — | $44 – $126 |
| 20 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $23 | $12 | 51% | — | $11 – $38 |
| 21 | University of Vermont Medical Center Inc Colchester, VT professional · percent of total billed charges · bothfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
← Payers reporting CPT 0826T · Snapshot 20261112T181611Z-3fa9fb76