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
$1
Average
$3.4k
Median
$2.7k
High
$23.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1135 hospitals; the 90th percentile is 5.0× 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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1,741 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.3k | $218 | 17% | 48 | $912 – $1.5k |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.2k | $207 | 17% | 48 | $864 – $1.4k |
| 3 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 5 | $287 | $318 | $68 | 21% | 37–46 | $272 – $452 |
| 4 | Massachusetts Eye and Ear Boston, MA other · outpatient | 1 | $1.8k | $1.8k | — | — | 23 | $1.8k – $1.8k |
| 5 | Newton Wellesley Hospital Newton, MA other · outpatient | 2 | $1.8k | $1.8k | — | — | 14–23 | $1.8k – $1.8k |
| 6 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $4.1k | $4.1k | — | — | 14 | $4.1k – $4.1k |
| 7 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 10 | $3.9k | $3.2k | $1.3k | 39% | 5–50 | $1.5k – $5.1k |
| 8 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 4 | $2.9k | $3.0k | $147 | 5% | 4–40 | $2.8k – $3.2k |
| 9 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $12.7k | $13.7k | $7.1k | 52% | 4–40 | $1.1k – $20.8k |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 8 | $4.1k | $5.0k | $1.7k | 34% | 3–30 | $3.4k – $8.4k |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 3 | $7.1k | $6.8k | $918 | 14% | 3–30 | $5.3k – $7.5k |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $4.5k | $4.0k | $1.3k | 33% | 3–30 | $1.0k – $4.8k |
| 13 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $4.7k | $7.2k | $6.9k | 95% | 3–30 | $332 – $16.7k |
| 14 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $2.6k | $3.1k | $2.0k | 64% | 3–30 | $910 – $6.3k |
| 15 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.1k | $421 | 39% | 3–30 | $477 – $1.4k |
| 16 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.3k | $4.9k | $1.3k | 26% | 3–30 | $3.2k – $6.3k |
| 17 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · outpatient | 2 | $1.6k | $1.6k | $216 | 13% | 2–20 | $1.4k – $1.9k |
| 18 | Boston Medical Center Boston, MA fee schedule · both | 1 | $1.8k | $1.8k | — | — | 2–20 | $1.8k – $1.8k |
| 19 | Brigham and Women's Hospital Boston, MA other · both | 1 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 20 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $1.8k | $1.8k | — | — | 2–20 | $1.8k – $1.8k |
| 21 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 22 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | 2–20 | $3.6k – $3.6k |
| 23 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | $607 | 22% | 2–20 | $2.2k – $3.4k |
| 24 | Massachusetts General Hospital Boston, MA other · outpatient | 2 | $1.8k | $1.8k | — | — | 2–20 | $1.8k – $1.8k |
| 25 | Mayo Clinic Rochester, MN facility · other · both | 3 | $2.5k | $2.5k | $31 | 1% | 2–20 | $2.4k – $2.5k |
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