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
$0
Average
$915
Median
$344
High
$29.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1409 hospitals; the 90th percentile is 16.3× 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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2,429 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 | $247 | $235 | $41 | 17% | 360 | $167 – $279 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $234 | $222 | $39 | 17% | 360 | $158 – $265 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $200 | $200 | — | — | 248 | $200 – $200 |
| 4 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $120 | $117 | $9 | 7% | 240 | $104 – $125 |
| 5 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $514 | $514 | — | — | 190 | $514 – $514 |
| 6 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 5 | $2.5k | $2.5k | $325 | 13% | 148–157 | $2.0k – $3.0k |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $92 | $69 | $26 | 38% | 106–196 | $30 – $92 |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $376 | $376 | — | — | 102 | $376 – $376 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 5 | $36 | $28 | $8 | 30% | 99–162 | $14 – $36 |
| 10 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · outpatientfrom % of charges | 11 | $710 | $782 | $204 | 26% | 96–132 | $556 – $1.2k |
| 11 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $280 | $267 | $45 | 17% | 96 | $195 – $312 |
| 12 | Northfield Hospital Northfield, MN other · both | 1 | $593 | $586 | $10 | 2% | 91 | $572 – $593 |
| 13 | Coffee Regional Medical Center, Inc Douglas, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $320 | $309 | $20 | 7% | 90 | $263 – $320 |
| 14 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $726 | $725 | $52 | 7% | 85 | $653 – $825 |
| 15 | MELROSEWAKEFIELD HEALTHCARE Medford, MA fee schedule · both | 2 | $139 | $138 | $64 | 46% | 75 | $67 – $202 |
| 16 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $208 | $202 | $18 | 9% | 74 | $172 – $219 |
| 17 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 3 | $924 | $701 | $314 | 45% | 71 | $256 – $924 |
| 18 | Mat-Su Valley Medical Center LLC Palmer, AK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | 69 | $3.2k – $3.2k |
| 19 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $339 | $339 | $138 | 41% | 67–76 | $201 – $477 |
| 20 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $478 | $478 | — | — | 61 | $478 – $478 |
| 21 | Vanderbilt Clarksville Hospital Clarksville, TN other · outpatient | 3 | $68 | $66 | $14 | 21% | 60–78 | $47 – $82 |
| 22 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $266 | $298 | $133 | 45% | 54–81 | $149 – $494 |
| 23 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $390 | $390 | $2 | 0% | 54 | $389 – $392 |
| 24 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $635 | $635 | — | — | 54 | $635 – $635 |
| 25 | UF Health Leesburg, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $362 | $287 | $143 | 50% | 50–176 | $70 – $465 |
← Payers reporting CPT 12001 · Snapshot 20261111T120946Z-9134e7f7