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
PERI-IMPLT CAPSLC BRST COMPL
Low
$306
Average
$6.0k
Median
$5.5k
High
$26.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
384 hospitals; the 90th percentile is 7.8× 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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606 hospital rates
iThe hospitals that file a Anthem 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 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 2 | $12.4k | $12.4k | $4.6k | 37% | 2–20 | $7.8k – $17.0k |
| 2 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $12.9k | $12.9k | $2.6k | 20% | 2–20 | $10.4k – $15.5k |
| 3 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $13.1k | $13.1k | $2.6k | 20% | 2–20 | $10.5k – $15.7k |
| 4 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient | 2 | $8.9k | $8.9k | $1.3k | 14% | 2–20 | $7.6k – $10.2k |
| 5 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 3 | $4.9k | $3.7k | $2.0k | 56% | 1–10 | $799 – $5.4k |
| 6 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $12.2k | $12.2k | — | — | 1–10 | $12.2k – $12.2k |
| 7 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 8 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 1 | $8.6k | $8.6k | — | — | 1–10 | $8.6k – $8.6k |
| 9 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT case rate · outpatient | 2 | $11.1k | $11.1k | $1.6k | 14% | 1–10 | $9.5k – $12.7k |
| 10 | Saint Marys Hospital Waterbury, CT facility · other · outpatient | 4 | $23.6k | $24.8k | $5.0k | 20% | 1–10 | $7.8k – $29.1k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $9.3k | $8.0k | $3.1k | 39% | — | $3.7k – $11.0k |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $1.7k | $1.6k | $793 | 49% | — | $630 – $2.4k |
| 14 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $913 | $1.0k | $484 | 47% | — | $463 – $1.8k |
| 17 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $12.6k | $12.8k | $1.6k | 13% | — | $11.0k – $15.1k |
| 18 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 19 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 20 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $9.9k | $8.7k | $3.6k | 41% | — | $3.8k – $12.3k |
| 21 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $17.0k | $17.0k | — | — | — | $17.0k – $17.0k |
| 22 | Anderson Hospital Maryville, IL facility · case rate · outpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 23 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $737 | $737 | — | — | — | $737 – $737 |
| 24 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $737 | $737 | — | — | — | $737 – $737 |
| 25 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $737 | $737 | — | — | — | $737 – $737 |
← Payers reporting CPT 19371 · Snapshot 20261112T124536Z-e251e855