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
$17
Average
$411
Median
$182
High
$11.1k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
208 hospitals; the 90th percentile is 26.8× 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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302 hospital rates
iThe hospitals that file a Medicare 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 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $69 | $69 | $47 | 68% | 99 | $22 – $116 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $122 | $122 | — | — | 98 | $122 – $122 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $166 | $166 | — | — | 53 | $166 – $166 |
| 4 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $212 | $212 | — | — | 50 | $212 – $212 |
| 5 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $230 | $230 | $112 | 49% | 38 | $118 – $341 |
| 6 | CLEVELAND AREA HOSPITAL CLEVELAND, OK other · outpatient | 1 | $116 | $119 | $50 | 42% | 38 | $60 – $181 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $217 | $217 | — | — | 34 | $217 – $217 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $44 | $44 | — | — | 29 | $44 – $44 |
| 9 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · inpatient | 1 | $136 | $136 | — | — | 27 | $136 – $136 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient | 1 | $125 | $125 | — | — | 26 | $125 – $125 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $22 | $22 | — | — | 25 | $22 – $22 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT other · inpatient | 1 | $71 | $71 | — | — | 23 | $71 – $71 |
| 13 | LONGMONT UNITED HOSPITAL Longmont, CO other · inpatient | 1 | $181 | $181 | — | — | 20 | $181 – $181 |
| 14 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $173 | $173 | — | — | 18 | $173 – $173 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | 13 | $19 – $19 |
| 16 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $250 | $250 | — | — | 12 | $250 – $250 |
| 17 | Benefis Teton Medical Center Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | $24 | 8% | 2–20 | $284 – $331 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $89 | $89 | — | — | 2–20 | $89 – $89 |
| 19 | Hospital Development Co Spencer, WV percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | 2–20 | $68 – $68 |
| 20 | St Francis Hospital Colorado Springs, CO other · inpatient | 1 | $89 | $89 | — | — | 2–20 | $89 – $89 |
| 21 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | $13 | 15% | 2–20 | $76 – $102 |
| 22 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $98 | $89 | $32 | 36% | 2–20 | $42 – $119 |
| 23 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT other · inpatient | 1 | $87 | $87 | — | — | 1–10 | $87 – $87 |
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