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 Cmplx Rpr S/a/L Addl 5 Cm/>
Low
$5
Average
$1.1k
Median
$358
High
$29.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
401 hospitals; the 90th percentile is 29.9× 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
752 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 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 2 | $666 | $516 | $238 | 46% | 1–10 | $180 – $701 |
| 2 | Eskenazi Health Indianapolis, IN facility · per diem · both | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 3 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 4 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $926 | $953 | $289 | 30% | 1–10 | $589 – $1.4k |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $139 | $139 | $2 | 1% | — | $137 – $141 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $414 | $414 | — | — | — | $414 – $414 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $224 | $222 | $121 | 55% | — | $67 – $427 |
| 11 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | $36 | 25% | — | $105 – $177 |
| 12 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 3 | $350 | $353 | $217 | 62% | — | $136 – $575 |
| 13 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $669 | $496 | $270 | 54% | — | $115 – $704 |
| 14 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $669 | $535 | $214 | 40% | — | $233 – $704 |
| 15 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $331 | $331 | $54 | 16% | — | $277 – $385 |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $274 | $274 | $95 | 35% | — | $158 – $391 |
| 17 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $123 | $130 | $46 | 35% | — | $75 – $200 |
| 18 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 19 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $222 | $222 | — | — | — | $222 – $222 |
| 20 | Anderson Hospital Maryville, IL facility · case rate · outpatient | 1 | $4.2k | $4.2k | $2.9k | 69% | — | $1.3k – $7.0k |
| 21 | Anderson Hospital Maryville, IL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $505 | $505 | — | — | — | $505 – $505 |
| 22 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $591 | $473 | $189 | 40% | — | $206 – $622 |
| 23 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 2 | $585 | $443 | $222 | 50% | — | $129 – $616 |
| 24 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 2 | $669 | $500 | $263 | 53% | — | $129 – $704 |
| 25 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $85 | $85 | — | — | — | $85 – $85 |
← Payers reporting CPT 13122 · Snapshot 20261111T120946Z-9134e7f7