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 12.6-20
Low
$2
Average
$1.5k
Median
$718
High
$19.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1275 hospitals; the 90th percentile is 9.7× 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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2,049 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $9.5k | $11.5k | $11.9k | 103% | 56 | $433 – $36.3k |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 12 | $8.5k | $10.1k | $9.0k | 89% | 17–170 | $1.1k – $27.0k |
| 3 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $10.7k | $15.7k | $15.5k | 99% | 9–90 | $528 – $45.7k |
| 4 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 7 | $26.6k | $20.7k | $14.2k | 69% | 9–90 | $538 – $45.6k |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $178 | $169 | $30 | 17% | 8–80 | $120 – $201 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $168 | $160 | $28 | 17% | 8–80 | $114 – $191 |
| 7 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 6 | $3.9k | $3.6k | $1.7k | 47% | 8–80 | $1.5k – $7.8k |
| 8 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 6 | $8.4k | $10.6k | $12.9k | 121% | 8–80 | $855 – $48.4k |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 10 | $1.9k | $2.3k | $1.4k | 59% | 4–40 | $837 – $5.1k |
| 10 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 4 | $1.7k | $1.5k | $342 | 22% | 4–40 | $943 – $1.7k |
| 11 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $303 | $294 | $26 | 9% | 4–40 | $250 – $318 |
| 12 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $211 | $201 | $34 | 17% | 3–30 | $147 – $235 |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $846 | $822 | $93 | 11% | 3–30 | $698 – $921 |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $3.0k | $2.3k | 76% | 3–30 | $923 – $6.3k |
| 15 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $773 | $773 | — | — | 2–20 | $773 – $773 |
| 16 | Brigham and Women's Hospital Boston, MA other · both | 1 | $474 | $474 | — | — | 2–20 | $474 – $474 |
| 17 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $359 | $359 | — | — | 2–20 | $359 – $359 |
| 18 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $909 | $909 | — | — | 2–20 | $909 – $909 |
| 19 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | — | — | 2–20 | $599 – $599 |
| 20 | Massachusetts General Hospital Boston, MA other · both | 1 | $474 | $474 | — | — | 2–20 | $474 – $474 |
| 21 | Massachusetts General Hospital Boston, MA other · outpatient | 2 | $359 | $359 | — | — | 2–20 | $359 – $359 |
| 22 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $734 | $867 | $275 | 32% | 2–20 | $667 – $1.3k |
| 23 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · both | 4 | $3.1k | $3.1k | $125 | 4% | 2–20 | $2.8k – $3.1k |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 2 | $486 | $489 | $4 | 1% | 2–20 | $486 – $495 |
| 25 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $442 | $442 | — | — | 2–20 | $442 – $442 |
← Payers reporting CPT 12035 · Snapshot 20261111T120946Z-9134e7f7