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 B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0cm
Low
$10
Average
$1.6k
Median
$896
High
$20.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1152 hospitals; the 90th percentile is 12.5× 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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1,797 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 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 4 | $6.2k | $6.0k | $2.7k | 45% | 22–49 | $666 – $8.3k |
| 2 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $6.2k | $6.0k | $2.7k | 45% | 22–49 | $666 – $8.3k |
| 3 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $3.1k | $3.1k | — | — | 18 | $3.1k – $3.1k |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $2.0k | $2.0k | — | — | 13 | $2.0k – $2.0k |
| 5 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $306 | $306 | — | — | 6–60 | $306 – $306 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $486 | $463 | $80 | 17% | 4–40 | $335 – $544 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $461 | $439 | $76 | 17% | 4–40 | $318 – $516 |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 10 | $1.7k | $1.9k | $1.0k | 55% | 3–30 | $757 – $3.5k |
| 9 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $1.6k | $1.7k | $216 | 13% | 3–30 | $1.6k – $2.0k |
| 10 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $1.6k | $1.7k | $216 | 13% | 3–30 | $1.6k – $2.0k |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $2.9k | $1.5k | 52% | 3–30 | $1.9k – $5.1k |
| 12 | Brigham and Women's Hospital Boston, MA other · both | 1 | $835 | $835 | — | — | 2–20 | $835 – $835 |
| 13 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $663 | $663 | — | — | 2–20 | $663 – $663 |
| 14 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $817 | 54% | 2–20 | $710 – $2.3k |
| 15 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $1.9k | $1.7k | $552 | 33% | 2–20 | $436 – $2.0k |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5.2k | $5.2k | $2.8k | 54% | 2–20 | $2.4k – $8.0k |
| 17 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 4 | $77 | $96 | $41 | 42% | 2–20 | $58 – $193 |
| 18 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 19 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $1.5k | $1.8k | $727 | 40% | 2–20 | $1.2k – $3.1k |
| 20 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $1.5k | $1.8k | $727 | 40% | 2–20 | $1.2k – $3.1k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 2 | $809 | $800 | $53 | 7% | 2–20 | $496 – $809 |
| 22 | Tufts Medical Center BOSTON, MA fee schedule · both | 2 | $663 | $663 | — | — | 2–20 | $663 – $663 |
| 23 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 5 | $2.7k | $2.7k | $339 | 13% | 2–20 | $2.2k – $3.2k |
| 24 | Betsy Johnson Hospital Dunn, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 25 | Boston Medical Center Boston, MA fee schedule · both | 1 | $663 | $663 | — | — | 1–10 | $663 – $663 |
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