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 Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr
Low
$3
Average
$11.2k
Median
$9.4k
High
$62.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1165 hospitals; the 90th percentile is 5.0× 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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1,839 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 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 2 | $8.8k | $8.8k | $840 | 10% | 17–26 | $7.9k – $9.6k |
| 2 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $18.9k | $18.9k | $1.4k | 7% | 5–50 | $17.0k – $21.5k |
| 3 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 2 | $7.2k | $7.2k | $809 | 11% | 4–40 | $6.4k – $8.0k |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $5.1k | $4.9k | $848 | 17% | 4–40 | $3.5k – $5.8k |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $4.9k | $4.6k | $804 | 17% | 4–40 | $3.4k – $5.5k |
| 6 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 18 | $7.6k | $8.8k | $2.2k | 25% | 4–40 | $6.1k – $12.6k |
| 7 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $5.4k | $5.1k | $868 | 17% | 3–30 | $3.7k – $6.0k |
| 8 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $10.1k | $10.0k | $248 | 2% | 3–30 | $9.5k – $10.2k |
| 9 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $17.8k | $18.1k | $373 | 2% | 3–30 | $17.8k – $18.6k |
| 10 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $17.8k | $18.1k | $373 | 2% | 3–30 | $17.8k – $18.6k |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 10 | $5.1k | $6.3k | $2.9k | 45% | 2–20 | $1.5k – $10.7k |
| 12 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $6.5k | $6.5k | — | — | 2–20 | $6.5k – $6.5k |
| 13 | Capital Health System Inc Browns Mills, NJ other · outpatient | 2 | $10.5k | $10.5k | — | — | 2–20 | $10.5k – $10.5k |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $7.0k | $7.0k | — | — | 2–20 | $7.0k – $7.0k |
| 15 | Massachusetts General Hospital Boston, MA other · outpatient | 2 | $6.5k | $6.5k | — | — | 2–20 | $6.5k – $6.5k |
| 16 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5.1k | $4.1k | $1.3k | 32% | 2–20 | $2.2k – $5.1k |
| 17 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $16.8k | $20.0k | $7.8k | 39% | 2–20 | $13.2k – $33.2k |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $6.9k | $6.9k | $65 | 1% | 2–20 | $6.9k – $7.0k |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $16.8k | $20.0k | $7.8k | 39% | 2–20 | $13.2k – $33.2k |
| 20 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $6.9k | $6.9k | $65 | 1% | 2–20 | $6.9k – $7.0k |
| 21 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · outpatientfrom % of charges | 2 | $11.2k | $11.2k | $88 | 1% | 2–20 | $11.1k – $11.3k |
| 22 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 2 | $6.0k | $6.0k | $395 | 7% | 2–20 | $3.7k – $6.0k |
| 23 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · outpatient | 2 | $6.0k | $6.0k | $395 | 7% | 2–20 | $3.7k – $6.0k |
| 24 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 18 | $8.3k | $10.0k | $2.6k | 26% | 2–20 | $7.0k – $14.4k |
| 25 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 1 | $10.1k | $10.1k | $2.8k | 28% | 1–10 | $7.3k – $12.9k |
← Payers reporting CPT 22514 · Snapshot 20261111T120946Z-9134e7f7