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
Low
$0
Average
$1.3k
Median
$595
High
$18.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1242 hospitals; the 90th percentile is 10.8× 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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1,910 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $693 | $659 | $115 | 17% | 8–80 | $469 – $785 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $657 | $625 | $109 | 17% | 8–80 | $444 – $744 |
| 3 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $744 | $746 | $84 | 11% | 6–60 | $658 – $832 |
| 4 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $611 | $611 | $2 | 0% | 5–50 | $609 – $614 |
| 5 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 4 | $6.2k | $6.0k | $2.7k | 45% | 1–10 | $666 – $8.3k |
| 6 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $6.2k | $6.0k | $2.7k | 45% | 1–10 | $666 – $8.3k |
| 7 | Mat-Su Valley Medical Center LLC Palmer, AK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 9 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 10 | Missouri Baptist Medical Center Saint Louis, MO other · outpatient | 1 | $407 | $407 | — | — | 1–10 | $407 – $407 |
| 11 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 12 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $400 | $400 | — | — | 1–10 | $400 – $400 |
| 13 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $397 | $384 | $34 | 9% | 1–10 | $327 – $417 |
| 14 | Yuma Regional Medical Center Yuma, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $743 | $743 | $149 | 20% | 1–10 | $594 – $891 |
| 15 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $600 | $600 | — | — | — | $600 – $600 |
| 16 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $523 | $523 | — | — | — | $523 – $523 |
| 17 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 2 | $496 | $496 | $246 | 50% | — | $250 – $742 |
| 18 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $380 | $380 | $20 | 5% | — | $360 – $400 |
| 19 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $252 | $238 | $62 | 26% | — | $123 – $304 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $320 | $320 | $27 | 8% | — | $294 – $347 |
| 21 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA case rate · outpatient | 2 | $680 | $685 | $95 | 14% | — | $566 – $813 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $239 | $214 | $57 | 27% | — | $121 – $279 |
| 23 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 3 | $440 | $453 | $149 | 33% | — | $262 – $689 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 6 | $180 | $166 | $85 | 51% | — | $21 – $252 |
| 25 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 4 | $347 | $355 | $59 | 17% | — | $297 – $430 |
← Payers reporting CPT 16030 · Snapshot 20261111T120946Z-9134e7f7