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
$728
Median
$194
High
$143.3k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
299 hospitals; the 90th percentile is 6.3× 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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489 hospital rates
iThe hospitals that file a Optum 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 | Boston Children's Hospital Boston, MA case rate · both | 1 | $1.2k | $1.2k | — | — | 54 | $1.2k – $1.2k |
| 2 | Fairview Health Services Princeton, MN other · both | 1 | $117 | $117 | — | — | 18–180 | $117 – $117 |
| 3 | Fairview Health Services Princeton, MN other · outpatient | 1 | $117 | $117 | — | — | 18–180 | $117 – $117 |
| 4 | HealthEast St John's Hospital Maplewood, MN other · outpatient | 1 | $87 | $87 | — | — | 18–180 | $87 – $87 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $117 | $117 | — | — | 17–170 | $117 – $117 |
| 6 | Fairview Health Services Princeton, MN other · inpatient | 1 | $117 | $117 | — | — | 16–160 | $117 – $117 |
| 7 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $87 | $87 | — | — | 16–160 | $87 – $87 |
| 8 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $289 | $219 | $102 | 46% | 6–60 | $75 – $292 |
| 9 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 10 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 11 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 12 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 1–10 | $98 – $98 |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 14 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 15 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 16 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 17 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 18 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | — | — | 1–10 | $173 – $173 |
| 19 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $143.3k | $143.3k | — | — | 1–10 | $143.3k – $143.3k |
| 20 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $87 | $87 | — | — | 1–10 | $87 – $87 |
| 21 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $123 | $97 | $31 | 32% | 1–10 | $43 – $123 |
| 22 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $337 | — | — | — | $337 – $337 |
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