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
Adjt Tis Trns/Reargmt F/C/C/M/N/a/G/H/F 10sqcm/<
Low
$316
Average
$3.2k
Median
$2.6k
High
$17.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
457 hospitals; the 90th percentile is 6.6× 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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786 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 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $306 | $306 | $7 | 2% | 17 | $299 – $313 |
| 2 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $5.4k | $4.8k | $1.7k | 35% | 9–90 | $2.1k – $6.2k |
| 3 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $5.4k | $4.8k | $1.7k | 35% | 3–30 | $2.1k – $6.2k |
| 4 | Eskenazi Health Indianapolis, IN facility · per diem · both | 1 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 5 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $10.6k | $10.6k | $2.1k | 20% | 2–20 | $8.4k – $12.7k |
| 6 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 5 | $4.3k | $3.8k | $1.3k | 34% | 2–20 | $1.8k – $5.0k |
| 7 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9.8k | $9.8k | $6.8k | 70% | 2–20 | $3.0k – $16.6k |
| 8 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $2.8k | $2.9k | $873 | 30% | 2–20 | $1.8k – $4.1k |
| 9 | Cary Medical Center Caribou, ME percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 10 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 3 | $2.3k | $1.9k | $690 | 37% | 1–10 | $919 – $2.5k |
| 11 | DIGNITY HEALTH Red Bluff, CA percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 12 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 13 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $25.9k | $26.0k | $165 | 1% | 1–10 | $25.9k – $26.3k |
| 14 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 3 | $3.5k | $3.3k | $529 | 16% | 1–10 | $1.7k – $3.5k |
| 15 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 5 | $4.3k | $3.8k | $1.2k | 33% | 1–10 | $1.8k – $4.9k |
| 16 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 5 | $4.2k | $3.7k | $1.2k | 33% | 1–10 | $1.8k – $4.9k |
| 17 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 18 | La Porte Hospital Company LLC La Porte, IN facility · other · outpatient | 2 | $2.0k | $2.0k | $229 | 12% | 1–10 | $1.7k – $2.2k |
| 19 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 20 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 22 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $3.0k | $3.2k | $717 | 22% | 1–10 | $2.5k – $4.2k |
| 23 | The Medical Center of Central Georgia Inc Macon, GA other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 24 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | $913 | 42% | 1–10 | $1.3k – $3.1k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
← Payers reporting CPT 14040 · Snapshot 20261111T120946Z-9134e7f7