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
BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE
Low
$125
Average
$1.9k
Median
$1.9k
High
$4.8k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 13.9× 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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32 hospital rates
iThe hospitals that file a Premera 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 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $652 | $652 | — | — | — | $652 – $652 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $652 | $652 | — | — | — | $652 – $652 |
| 5 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $666 | $666 | — | — | — | $666 – $666 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 9 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 14 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 16 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 17 | Samaritan Hospital Troy, NY facility · other · both | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 23 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
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