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
facility
The 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.
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2,056 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $328.39 | $328.39 – $328.39 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $258.05 | $258.05 – $258.05 |
| 3 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 2 | $311.97 | $157.24 – $466.70 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $300.88 | $285.04 – $316.72 |
| 5 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $210.79 | $102.89 – $304.25 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $253.37 | $232.23 – $274.50 |
| 7 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA case rate · outpatient | 2 | $472.80 | $447.93 – $497.67 |
| 8 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $188.88 | $102.12 – $278.92 |
| 9 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 2 | $314.58 | $207.52 – $421.63 |
| 10 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 5 | $164.87 | $102.12 – $213.59 |
| 11 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 4 | $301.14 | $213.90 – $396.23 |
| 12 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 4 | $301.14 | $213.90 – $396.23 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 10 | $1,998 | $553.35 – $5,093 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $233.51 | $136.00 – $278.23 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $417.90 | $388.80 – $447.00 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 18 | $150.72 | $85.28 – $273.93 |
| 17 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $193.65 | $193.65 – $193.65 |
| 18 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $412.65 | $396.20 – $429.40 |
| 19 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $365.68 | $267.79 – $429.40 |
| 20 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $193.65 | $193.65 – $193.65 |
| 21 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $191.57 | $188.77 – $194.36 |
| 22 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $193.65 | $193.65 – $193.65 |
| 23 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $193.65 | $193.65 – $193.65 |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $193.65 | $193.65 – $193.65 |
| 25 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $412.65 | $396.20 – $429.40 |
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