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
$21
Average
$4.8k
Median
$231
High
$815.8k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
182 hospitals; the 90th percentile is 8.9× 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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328 hospital rates
iThe hospitals that file a Highmark 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 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $739 | $739 | — | — | 17 | $739 – $739 |
| 2 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $930 | $829 | $144 | 17% | 12 | $625 – $930 |
| 3 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $331 | — | — | 11 | $331 – $331 |
| 4 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $194 | $372 | $333 | 90% | 5–50 | $45 – $930 |
| 5 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $225 | $225 | $9 | 4% | 4–40 | $216 – $234 |
| 6 | Hospital Development Co Spencer, WV fee schedule · both | 2 | $606 | $606 | — | — | 4–40 | $606 – $606 |
| 7 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $168 | $183 | $72 | 39% | 4–40 | $92 – $296 |
| 8 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $390 | $390 | $12 | 3% | 2–20 | $378 – $402 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $22 | $26 | $8 | 31% | 2–20 | $14 – $36 |
| 10 | Nicholas H. Noyes Memorial Hospital Dansville, NY percent of total billed charges · outpatientfrom % of charges | 2 | $437 | $437 | $7 | 2% | 2–20 | $430 – $443 |
| 11 | STONEWALL JACKSON HOSPITAL Weston, WV fee schedule · outpatient | 2 | $849 | $677 | $331 | 49% | 2–20 | $105 – $903 |
| 12 | Webster Memorial Hospital Inc Cowen, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3531.0k | $3670.6k | $2889.7k | 79% | 2–20 | $751.5k – $6869.0k |
| 13 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | — | — | 2–20 | $148 – $148 |
| 14 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 3 | $201 | $187 | $33 | 18% | 1–10 | $105 – $201 |
| 15 | Community Health Association Ripley, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 1–10 | $98 – $98 |
| 16 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $64 | $56 | $12 | 22% | 1–10 | $36 – $64 |
| 17 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $240 | $240 | — | — | 1–10 | $240 – $240 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 10 | $82 | $87 | $44 | 50% | — | $38 – $178 |
| 19 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 13 | $47 | $46 | $2 | 5% | — | $39 – $47 |
| 20 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 21 | $178 | $188 | $149 | 79% | — | $34 – $726 |
| 21 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 22 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 23 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $531 | $531 | — | — | — | $531 – $531 |
| 24 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 2 | $966 | $966 | $109 | 11% | — | $857 – $1.1k |
| 25 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 4 | $190 | $189 | $14 | 8% | — | $172 – $205 |
← Payers reporting CPT 12001 · Snapshot 20261111T120946Z-9134e7f7