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
HC INT RPR F/E/EY/NO/L/M 5.1-7.5
Low
$35
Average
$1.3k
Median
$745
High
$16.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1228 hospitals; the 90th percentile is 9.3× 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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1,946 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 | Mayo Clinic Rochester, MN facility · other · both | 3 | $492 | $489 | $6 | 1% | 29 | $478 – $492 |
| 2 | Mayo Clinic Rochester, MN facility · other · outpatient | 3 | $492 | $489 | $6 | 1% | 29 | $478 – $492 |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $998 | $881 | $293 | 33% | 18–36 | $231 – $1.1k |
| 4 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $809 | $765 | $73 | 10% | 18–36 | $661 – $824 |
| 5 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $442 | $442 | — | — | 13 | $442 – $442 |
| 6 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · outpatient | 1 | $442 | $442 | — | — | 13 | $442 – $442 |
| 7 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $2.2k | $2.9k | $2.9k | 99% | 9–90 | $359 – $9.5k |
| 8 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $215 | $204 | $36 | 17% | 8–80 | $145 – $243 |
| 9 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $203 | $194 | $34 | 17% | 8–80 | $138 – $230 |
| 10 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 6 | $7.4k | $8.4k | $6.7k | 80% | 8–80 | $604 – $20.9k |
| 11 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.0k | $986 | $175 | 18% | 5–50 | $773 – $1.2k |
| 12 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.2k | $2.9k | $4.2k | 143% | 5–50 | $472 – $15.2k |
| 13 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 2 | $486 | $489 | $4 | 1% | 4–40 | $486 – $495 |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $913 | $1.3k | $516 | 40% | 3–30 | $913 – $2.0k |
| 15 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $973 | $973 | — | — | 2–20 | $973 – $973 |
| 16 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $377 | $377 | — | — | 2–20 | $377 – $377 |
| 17 | Massachusetts General Hospital Boston, MA other · both | 1 | $474 | $474 | — | — | 2–20 | $474 – $474 |
| 18 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · both | 4 | $3.1k | $3.1k | $125 | 4% | 2–20 | $2.8k – $3.1k |
| 19 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $444 | $444 | — | — | 2–20 | $444 – $444 |
| 20 | Mayo Clinic Health System Mankato 56001-4752 facility · other · outpatient | 2 | $486 | $489 | $4 | 1% | 2–20 | $486 – $495 |
| 21 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $708 | $1.0k | $568 | 54% | 2–20 | $150 – $1.8k |
| 22 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 23 | Boston Medical Center Boston, MA fee schedule · both | 1 | $359 | $359 | — | — | 1–10 | $359 – $359 |
| 24 | Carle BroMenn Medical Center Normal, IL other · outpatient | 1 | $189 | $189 | — | — | 1–10 | $189 – $189 |
| 25 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $972 | $972 | $4 | 0% | 1–10 | $968 – $976 |
← Payers reporting CPT 12053 · Snapshot 20261111T120946Z-9134e7f7