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
$1
Average
$1.3k
Median
$209
High
$1164.3k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
1374 hospitals; the 90th percentile is 6.9× 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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2,148 hospital rates
iThe hospitals that file a Humana 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 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 2 | $192 | $170 | $40 | 23% | 48–75 | $88 – $192 |
| 2 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $254 | — | — | 32 | $254 – $254 |
| 3 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $43 | 54% | 30 | $36 – $122 |
| 4 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | $0 | 0% | 19–28 | $66 – $67 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $116 | $116 | — | — | 19 | $116 – $116 |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $378 | $119 | 31% | 19–190 | $323 – $883 |
| 7 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $209 | $209 | — | — | 19 | $209 – $209 |
| 8 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $209 | $209 | — | — | 19 | $209 – $209 |
| 9 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $114 | $114 | — | — | 17–170 | $114 – $114 |
| 10 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | 16 | $175 – $175 |
| 11 | High Point Regional Health High Point, NC other · outpatient | 1 | $113 | $113 | — | — | 12 | $113 – $113 |
| 12 | WRMC Hospital Operating Corporation North Wilkesboro, NC other · outpatient | 1 | $114 | $114 | — | — | 12 | $114 – $114 |
| 13 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $442 | $442 | — | — | 12 | $442 – $442 |
| 14 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $89 | $89 | — | — | 11 | $89 – $89 |
| 15 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $87 | $87 | — | — | 11 | $87 – $87 |
| 16 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $410 | $10.1k | $17.8k | 177% | 6–60 | $213 – $57.3k |
| 17 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $70 | $123 | $61 | 50% | 5–50 | $70 – $194 |
| 18 | UCHealth Estes Valley Medical Center Estes Park, CO percent of total billed charges · outpatientfrom % of charges | 2 | $436 | $404 | $208 | 51% | 5–50 | $220 – $941 |
| 19 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $62 | $16 | 26% | 4–40 | $46 – $78 |
| 20 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $741 | $760 | $26 | 3% | 3–30 | $741 – $797 |
| 21 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 1 | $212 | $212 | — | — | 3–30 | $212 – $212 |
| 22 | Morrow County Hospital Gilead, OH percent of total billed charges · bothfrom % of charges | 3 | $174 | $225 | $95 | 42% | 3–30 | $144 – $358 |
| 23 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $19.8k | $17.5k | $14.4k | 83% | 3–30 | $608 – $33.0k |
| 24 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $97 | $0 | 1% | 2–20 | $97 – $98 |
| 25 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $316 | $316 | — | — | 2–20 | $316 – $316 |
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