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
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/<
Low
$588
Average
$3.4k
Median
$2.8k
High
$20.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
409 hospitals; the 90th percentile is 6.4× 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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671 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 | Eskenazi Health Indianapolis, IN facility · per diem · both | 2 | $1.9k | $1.9k | — | — | 4–40 | $1.9k – $1.9k |
| 2 | University of Virginia Haymarket Medical Center Haymarket, VA other · both | 3 | $5.1k | $4.6k | $1.6k | 35% | 3–30 | $2.1k – $6.0k |
| 3 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $5.4k | $4.8k | $1.7k | 35% | 3–30 | $2.1k – $6.2k |
| 4 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 5 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 2 | $1.9k | $1.9k | — | — | 2–20 | $1.9k – $1.9k |
| 6 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $2.4k | $2.4k | $705 | 29% | 2–20 | $1.7k – $3.2k |
| 7 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $2.9k | $3.0k | $895 | 30% | 2–20 | $1.8k – $4.2k |
| 8 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 9 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 10 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $40.4k | $40.4k | — | — | 1–10 | $40.4k – $40.4k |
| 11 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $27.6k | $27.6k | — | — | 1–10 | $27.6k – $27.6k |
| 12 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 13 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 14 | 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 |
| 15 | University of Virginia Haymarket Medical Center Haymarket, VA other · outpatient | 3 | $5.1k | $4.6k | $1.6k | 35% | 1–10 | $2.1k – $6.0k |
| 16 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $5.4k | $4.8k | $1.7k | 35% | 1–10 | $2.1k – $6.2k |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $4.9k | $4.2k | $1.6k | 39% | — | $2.0k – $5.8k |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $1.9k | $1.9k | $938 | 50% | — | $674 – $3.1k |
| 20 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $735 | $747 | $195 | 26% | — | $517 – $1000 |
| 22 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $6.7k | $6.8k | $863 | 13% | — | $5.9k – $8.0k |
| 23 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 24 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 25 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $4.7k | $4.1k | $1.7k | 41% | — | $1.8k – $5.9k |
← Payers reporting CPT 15240 · Snapshot 20261111T120946Z-9134e7f7