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
Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0
Low
$0
Average
$1.6k
Median
$887
High
$15.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1309 hospitals; the 90th percentile is 14.9× 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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2,168 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $588 | $560 | $97 | 17% | 120 | $406 – $658 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $558 | $531 | $92 | 17% | 120 | $384 – $624 |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $1.4k | $1.2k | $398 | 33% | 64–82 | $313 – $1.5k |
| 4 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $751 | $1.4k | $865 | 64% | 64–82 | $737 – $2.6k |
| 5 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $663 | $663 | — | — | 59 | $663 – $663 |
| 6 | Tufts Medical Center BOSTON, MA fee schedule · both | 2 | $663 | $663 | — | — | 54 | $663 – $663 |
| 7 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $782 | $1.8k | $1.8k | 100% | 49–67 | $782 – $5.0k |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | 25 | $1.2k – $1.2k |
| 9 | Boston Medical Center Boston, MA fee schedule · both | 1 | $663 | $663 | — | — | 17 | $663 – $663 |
| 10 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · both | 4 | $3.2k | $3.1k | $128 | 4% | 17 | $2.9k – $3.2k |
| 11 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · outpatient | 4 | $3.2k | $3.1k | $128 | 4% | 17 | $2.9k – $3.2k |
| 12 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $286 | $286 | $14 | 5% | 17 | $270 – $308 |
| 13 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 6 | $99 | $78 | $25 | 32% | 16–160 | $44 – $99 |
| 14 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $57 | $57 | — | — | 15–150 | $57 – $57 |
| 15 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 2 | $341 | $341 | $118 | 35% | 12–120 | $222 – $459 |
| 16 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $57 | $57 | — | — | 5–50 | $57 – $57 |
| 17 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 2 | $145 | $142 | $4 | 3% | 4–40 | $137 – $145 |
| 18 | HOMESTEAD HOSPITAL Homestead, FL percent of total billed charges · outpatientfrom % of charges | 2 | $4.5k | $4.5k | $1.1k | 24% | 4–40 | $3.4k – $5.5k |
| 19 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 4 | $6.2k | $6.0k | $2.7k | 45% | 4–40 | $666 – $8.3k |
| 20 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $6.2k | $6.0k | $2.7k | 45% | 4–40 | $666 – $8.3k |
| 21 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · outpatientfrom % of charges | 2 | $6.1k | $6.1k | $224 | 4% | 4–40 | $5.7k – $6.3k |
| 22 | UF Health The Villages, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $4.1k | $3.2k | $1.7k | 54% | 4–40 | $180 – $4.4k |
| 23 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $1.1k | 83% | 4–40 | $234 – $2.5k |
| 24 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · outpatientfrom % of charges | 2 | $12.2k | $12.2k | — | — | 3–30 | $12.2k – $12.2k |
| 25 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 1 | $407 | $407 | — | — | 3–30 | $407 – $407 |
← Payers reporting CPT 11402 · Snapshot 20261111T120946Z-9134e7f7