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.
Generation details were not recorded for this description.
Original text from hospital filings
PR Extraction
Low
$10
Average
$812
Median
$264
High
$12.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
959 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.
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1,383 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 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $73 | $62 | $14 | 22% | 57–111 | $36 – $73 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $248 | $221 | $70 | 32% | 16–34 | $57 – $268 |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $180 | $194 | $30 | 16% | 16–34 | $165 – $236 |
| 4 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $202 | $202 | — | — | 2–20 | $202 – $202 |
| 5 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $58 | $63 | $19 | 30% | 2–20 | $49 – $114 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $418 | $418 | — | — | 2–20 | $418 – $418 |
| 7 | Baylor Scott & White Medical Center - Lakeway Lakeway, TX facility · fee schedule · outpatient | 4 | $78 | $78 | $5 | 7% | 1–10 | $71 – $85 |
| 8 | Baylor Scott & White Medical Center - Round Rock Round Rock, TX facility · fee schedule · outpatient | 5 | $81 | $105 | $54 | 51% | 1–10 | $71 – $212 |
| 9 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $209 | $209 | — | — | 1–10 | $209 – $209 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 11 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $317 | $319 | $10 | 3% | 1–10 | $310 – $341 |
| 12 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $537 | $573 | $72 | 13% | 1–10 | $537 – $716 |
| 13 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $532 | $532 | — | — | 1–10 | $532 – $532 |
| 14 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $131 | $155 | $49 | 32% | 1–10 | $119 – $238 |
| 15 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $131 | $131 | $6 | 5% | 1–10 | $124 – $141 |
| 16 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $50 | $56 | $21 | 37% | 1–10 | $42 – $114 |
| 17 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $131 | $147 | $42 | 29% | 1–10 | $124 – $257 |
| 18 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 2 | $161 | $161 | $49 | 30% | 1–10 | $112 – $210 |
| 19 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 20 | Tufts Medical Center BOSTON, MA fee schedule · both | 2 | $202 | $202 | — | — | 1–10 | $202 – $202 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $228 | $228 | $12 | 5% | — | $216 – $240 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $127 | $148 | $86 | 58% | — | $43 – $304 |
| 23 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $192 | $192 | $16 | 8% | — | $176 – $208 |
| 24 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA case rate · outpatient | 2 | $358 | $358 | $19 | 5% | — | $339 – $377 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $120 | $135 | $78 | 58% | — | $43 – $279 |
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