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
PERQ DEV BREAST ADD STRTCTC
Low
$1
Average
$2.4k
Median
$1.1k
High
$33.5k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 20.0× 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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55 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 2 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $4.8k | $4.8k | $848 | 18% | — | $4.0k – $5.7k |
| 3 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $88 | 8% | — | $1.0k – $1.2k |
| 4 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $4.8k | $4.8k | $848 | 18% | — | $4.0k – $5.7k |
| 5 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $740 | $740 | — | — | — | $740 – $740 |
| 6 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $889 | $889 | $77 | 9% | — | $811 – $966 |
| 7 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $966 | $4.5k | $5.1k | 114% | — | $811 – $11.8k |
| 8 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 9 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $4.8k | $4.8k | $848 | 18% | — | $4.0k – $5.7k |
| 10 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $4.8k | $4.8k | $848 | 18% | — | $4.0k – $5.7k |
| 11 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $4.8k | $4.8k | $848 | 18% | — | $4.0k – $5.7k |
| 12 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $4.8k | $4.8k | $848 | 18% | — | $4.0k – $5.7k |
| 13 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $4.8k | $4.8k | $848 | 18% | — | $4.0k – $5.7k |
| 14 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $893 | $899 | $9 | 1% | — | $893 – $912 |
| 15 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 16 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 17 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 18 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 19 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 20 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 21 | Mayo Clinic Health System Waseca 56093-2811 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 22 | Mayo Clinic Health System Cannon Falls 55009-5003 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 23 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 24 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $609 | $609 | — | — | — | $609 – $609 |
| 25 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $732 | $732 | — | — | — | $732 – $732 |
← Payers reporting CPT 19284 · Snapshot 20261112T181611Z-3fa9fb76