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
$112
Median
$124
High
$239
Each hospital's average Premera rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 2.7× 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.
Filter by billing methodology
Filter by billing class
25 hospital rates
iThe hospitals that file a Premera 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 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $139 | $129 | $39 | 30% | — | $66 – $173 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 5 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $139 | $129 | $39 | 30% | — | $66 – $173 |
| 6 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 7 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 11 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 12 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 13 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $139 | $129 | $39 | 30% | — | $66 – $173 |
| 14 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $99 | $91 | $15 | 16% | — | $66 – $99 |
| 15 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $139 | $129 | $39 | 30% | — | $66 – $173 |
| 16 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $110 | $98 | $20 | 20% | — | $64 – $110 |
| 17 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $100 | $90 | $16 | 18% | — | $62 – $100 |
| 18 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $126 | $123 | $4 | 3% | — | $117 – $126 |
| 19 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 20 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 21 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 23 | 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 |
| 24 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $141 | $130 | $40 | 30% | — | $66 – $173 |
| 25 | Virginia Mason Medical Center Seattle, WA facility · case rate · outpatient | 2 | $84 | $84 | $44 | 52% | — | $41 – $128 |
← Payers reporting CPT 0826T · Snapshot 20261112T181611Z-3fa9fb76