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
$9
Average
$3.5k
Median
$2.8k
High
$31.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
980 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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1,461 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $3.7k | $3.3k | $1.1k | 32% | 31–58 | $865 – $4.0k |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $9.0k | $9.2k | $2.3k | 24% | 31–58 | $6.7k – $12.2k |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.2k | $1.2k | $206 | 17% | 4–40 | $862 – $1.4k |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.2k | $1.1k | $195 | 17% | 4–40 | $817 – $1.3k |
| 5 | Mayo Clinic Rochester, MN facility · other · both | 3 | $2.5k | $2.5k | $31 | 1% | 3–30 | $2.4k – $2.5k |
| 6 | Mayo Clinic Rochester, MN facility · other · outpatient | 3 | $6.5k | $6.4k | $80 | 1% | 3–30 | $6.3k – $6.5k |
| 7 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 10 | $3.9k | $3.6k | $1.7k | 45% | 2–20 | $1.7k – $7.0k |
| 8 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $1.8k | $1.8k | — | — | 2–20 | $1.8k – $1.8k |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 10 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $12.7k | $13.7k | $7.1k | 52% | 2–20 | $1.1k – $20.8k |
| 11 | Massachusetts General Hospital Boston, MA other · outpatient | 2 | $1.8k | $1.8k | — | — | 2–20 | $1.8k – $1.8k |
| 12 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · both | 4 | $5.2k | $5.1k | $210 | 4% | 2–20 | $4.7k – $5.2k |
| 13 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · outpatient | 4 | $8.2k | $8.1k | $328 | 4% | 2–20 | $7.4k – $8.2k |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.2k | $6.2k | $673 | 11% | 2–20 | $5.5k – $6.8k |
| 15 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 16 | Boston Medical Center Boston, MA fee schedule · both | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 17 | Brigham and Women's Faulkner Hospital Boston, MA other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 18 | Brigham and Women's Hospital Boston, MA other · both | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 19 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 3 | $4.4k | $3.4k | $1.7k | 51% | 1–10 | $957 – $4.8k |
| 20 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 21 | Lowell General Hospital Lowell, MA fee schedule · both | 2 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 22 | Massachusetts Eye and Ear Boston, MA other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 23 | Mayo Clinic Rochester, MN facility · case rate · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 24 | Mayo Clinic Rochester, MN facility · fee schedule · both | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 25 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.9k | $6.9k | — | — | 1–10 | $6.9k – $6.9k |
← Payers reporting CPT 15240 · Snapshot 20261111T120946Z-9134e7f7