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
PROF PREP ADDL 100 CM
Low
$101
Average
$1.7k
Median
$340
High
$7.9k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 33.6× 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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17 hospital rates
iThe hospitals that file a Premera 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $755 | $755 | — | — | — | $755 – $755 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 4 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 5 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 8 | Saint Marys Hospital Waterbury, CT facility · other · outpatient | 1 | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 9 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 11 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 3 | $101 | $101 | — | — | — | $101 – $101 |
| 12 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $354 | $354 | — | — | — | $354 – $354 |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 14 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 15 | St Peters Hospital Albany, NY facility · other · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 16 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 17 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $73 | $73 | $26 | 35% | — | $48 – $99 |
← Payers reporting CPT 15003 · Snapshot 20261112T181611Z-3fa9fb76