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
SIMPLE RPR SUPRFCL WND SCLP/NK/AX/GN/TRK/EXT 2.5CM/LS-CAC
Low
$12
Average
$319
Median
$121
High
$3.3k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
192 hospitals; the 90th percentile is 13.6× 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.
Filter by billing methodology
Filter by billing class
269 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $122 | $122 | — | — | 3–30 | $122 – $122 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | 2–20 | $106 – $106 |
| 3 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $122 | $122 | — | — | 2–20 | $122 – $122 |
| 4 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 2–20 | $98 – $98 |
| 5 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | 2–20 | $77 – $77 |
| 6 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 2–20 | $92 – $92 |
| 7 | Carteret County General Hospital Corporation Morehead City, NC facility · fee schedule · both | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 8 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $417 | $417 | $405 | 97% | 1–10 | $12 – $822 |
| 9 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 11 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 12 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 2 | $113 | $113 | $86 | 76% | — | $27 – $199 |
| 13 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 15 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 16 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 17 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 18 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 19 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 20 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 21 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $828 | $828 | — | — | — | $828 – $828 |
| 22 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 2 | $147 | $147 | $74 | 50% | — | $73 – $221 |
| 23 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 2 | $151 | $151 | $78 | 51% | — | $73 – $228 |
| 24 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 25 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $76 | $76 | — | — | — | $76 – $76 |
← Payers reporting CPT 12001 · Snapshot 20261111T120946Z-9134e7f7