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
HB Intmd Rpr S/a/T/Ext 2.5 Cm/<
Low
$3
Average
$1.2k
Median
$648
High
$13.8k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
538 hospitals; the 90th percentile is 14.5× 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.
Filter by billing methodology
Filter by billing class
1,099 hospital rates
iThe hospitals that file a Anthem 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 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $650 | $708 | $157 | 22% | 46 | $552 – $922 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $209 | 19% | 14–32 | $877 – $1.3k |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $564 | $580 | $176 | 30% | 12–21 | $359 – $835 |
| 4 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $207 | $207 | — | — | 11 | $207 – $207 |
| 5 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 3 | $144 | $165 | $59 | 36% | 6–60 | $100 – $273 |
| 6 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 6 | $91 | $80 | $19 | 23% | 6–60 | $39 – $96 |
| 7 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $873 | $873 | $97 | 11% | 6–60 | $776 – $971 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $788 | $788 | $37 | 5% | 4–40 | $750 – $825 |
| 9 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $1.1k | $941 | $331 | 35% | 4–40 | $408 – $1.2k |
| 10 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 6 | $153 | $136 | $17 | 13% | 3–30 | $117 – $153 |
| 11 | Morrow County Hospital Gilead, OH percent of total billed charges · bothfrom % of charges | 3 | $282 | $335 | $111 | 33% | 3–30 | $234 – $489 |
| 12 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 3–30 | $1.0k – $1.0k |
| 13 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 3 | $1.1k | $1.0k | $378 | 37% | 3–30 | $421 – $1.3k |
| 14 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 2 | $467 | $473 | $261 | 55% | 2–20 | $207 – $751 |
| 15 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $622 | $628 | $8 | 1% | 2–20 | $622 – $639 |
| 16 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 2 | $2.8k | $2.8k | $2.5k | 91% | 2–20 | $254 – $5.3k |
| 17 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 2 | $935 | $935 | $142 | 15% | 2–20 | $792 – $1.1k |
| 18 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $761 | $761 | $133 | 18% | 2–20 | $627 – $894 |
| 19 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 3 | $129 | $99 | $32 | 33% | 2–20 | $57 – $129 |
| 20 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 3 | $238 | $239 | $147 | 62% | 1–10 | $92 – $391 |
| 21 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $417 | $334 | $133 | 40% | 1–10 | $146 – $439 |
| 22 | Anderson Hospital Maryville, IL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $855 | $855 | $445 | 52% | 1–10 | $410 – $1.3k |
| 23 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 3 | $231 | $236 | $157 | 67% | 1–10 | $78 – $403 |
| 24 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $325 | $325 | — | — | 1–10 | $325 – $325 |
| 25 | Cary Medical Center Caribou, ME percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | — | — | 1–10 | $193 – $193 |
← Payers reporting CPT 12031 · Snapshot 20261111T120946Z-9134e7f7