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 Carefirst 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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53 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $3,000 | $3,000 – $3,000 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $228.33 | $228.33 – $228.33 |
| 3 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $276.12 | $191.16 – $361.08 |
| 4 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $111.76 | $106.60 – $120.36 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $4,068 | $4,068 – $4,068 |
| 6 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 7 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 8 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 9 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 10 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $1,049 | $1,043 – $1,054 |
| 11 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6,585 | $6,585 – $6,585 |
| 12 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · inpatient | 3 | $52.20 | $29.35 – $69.88 |
| 13 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · outpatient | 3 | $54.61 | $32.61 – $69.88 |
| 14 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $237.02 | $237.02 – $237.02 |
| 15 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $1,685 | $1,685 – $1,685 |
| 16 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 3 | $874.57 | $874.57 – $874.57 |
| 17 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $237.02 | $237.02 – $237.02 |
| 18 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $235.24 | $235.24 – $235.24 |
| 19 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $749.44 | $749.44 – $749.44 |
| 20 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 1 | $749.44 | $749.44 – $749.44 |
| 21 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $721.64 | $721.64 – $721.64 |
| 22 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $721.64 | $721.64 – $721.64 |
| 23 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $721.64 | $721.64 – $721.64 |
| 24 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $649.19 | $649.19 – $649.19 |
| 25 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $210.21 | $210.21 – $210.21 |
← Payers reporting CPT 16025 · Snapshot 20261108T203506Z-bb90dbab