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
facility
Low
$6
Average
$630
Median
$111
High
$24.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1193 hospitals; the 90th percentile is 40.4× 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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1,898 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 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 1 | $70 | $70 | — | — | 14 | $70 – $70 |
| 2 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · outpatient | 1 | $158 | $185 | $38 | 20% | 14 | $158 – $238 |
| 3 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $110 | $110 | — | — | 9–90 | $110 – $110 |
| 4 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 8 | $111 | $100 | $27 | 27% | 4–40 | $49 – $128 |
| 5 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $110 | $110 | — | — | 3–30 | $110 – $110 |
| 6 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $148 | $131 | $36 | 28% | 3–30 | $51 – $153 |
| 7 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $112 | $103 | $41 | 39% | 3–30 | $50 – $148 |
| 8 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $55 | $41 | $20 | 49% | 3–30 | $12 – $55 |
| 9 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | $3 | 4% | 2–20 | $82 – $89 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $64 | $64 | — | — | 2–20 | $64 – $64 |
| 11 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 2 | $70 | $71 | $1 | 1% | 2–20 | $70 – $72 |
| 12 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 11 | $113 | $108 | $17 | 16% | 2–20 | $68 – $129 |
| 13 | Mayo Clinic Health System Fairmont 56031-4575 facility · other · both | 2 | $70 | $71 | $1 | 1% | 2–20 | $70 – $72 |
| 14 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | $28 | 34% | 2–20 | $53 – $108 |
| 15 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 2 | $57 | $56 | $4 | 7% | 2–20 | $35 – $57 |
| 16 | Tufts Medical Center BOSTON, MA fee schedule · both | 2 | $80 | $80 | $16 | 20% | 2–20 | $64 – $96 |
| 17 | Wentworth Douglass Hospital Dover, NH other · both | 2 | $229 | $229 | $168 | 73% | 2–20 | $61 – $397 |
| 18 | Boston Medical Center Boston, MA fee schedule · both | 1 | $64 | $64 | — | — | 1–10 | $64 – $64 |
| 19 | Brigham and Women's Hospital Boston, MA other · outpatient | 1 | $64 | $64 | — | — | 1–10 | $64 – $64 |
| 20 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $216 | $216 | $41 | 19% | 1–10 | $175 – $257 |
| 21 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $215 | — | — | 1–10 | $215 – $215 |
| 22 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | 1–10 | $61 – $61 |
| 23 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | $11 | 7% | 1–10 | $141 – $178 |
| 24 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $76 | $76 | $2 | 3% | 1–10 | $74 – $81 |
| 25 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · outpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
← Payers reporting CPT 11719 · Snapshot 20261111T120946Z-9134e7f7