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
CL TX SC/TC HUMER FX WO M
Low
$71
Average
$710
Median
$865
High
$1.3k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 7.2× 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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29 hospital rates
iThe hospitals that file a Carefirst 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 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $424 | $424 | $131 | 31% | — | $294 – $555 |
| 3 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $367 | $377 | $18 | 5% | — | $362 – $402 |
| 4 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $258 | $250 | $106 | 42% | — | $136 – $356 |
| 6 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $1.3k | $1.3k | $262 | 20% | — | $1.0k – $1.6k |
| 7 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $1.3k | $1.3k | $262 | 20% | — | $1.0k – $1.6k |
| 8 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $1.3k | $1.3k | $262 | 20% | — | $1.0k – $1.6k |
| 9 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $1.3k | $1.3k | $262 | 20% | — | $1.0k – $1.6k |
| 10 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $1.3k | $1.3k | $262 | 20% | — | $1.0k – $1.6k |
| 11 | MedStar Washington Hospital Center NW, WA facility · case rate · outpatient | 2 | $1.2k | $1.2k | $94 | 8% | — | $1.1k – $1.3k |
| 12 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 14 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 15 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $360 | $360 | $48 | 13% | — | $312 – $407 |
| 16 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 17 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $865 | $865 | $60 | 7% | — | $805 – $925 |
| 18 | RESTON HOSPITAL CENTER Reston, VA case rate · outpatient | 2 | $968 | $968 | — | — | — | $968 – $968 |
| 19 | STONESPRINGS HOSPITAL CENTER Dulles, VA case rate · outpatient | 2 | $968 | $968 | — | — | — | $968 – $968 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $149 | $173 | $35 | 20% | — | $149 – $223 |
| 22 | Saint Alphonsus Medical Center - Ontario Ontario, OR professional · fee schedule · both | 3 | $250 | $235 | $128 | 55% | — | $92 – $362 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 3 | $281 | $269 | $127 | 47% | — | $131 – $396 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $262 | $244 | $120 | 49% | — | $108 – $362 |
| 25 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $350 | $350 | — | — | — | $350 – $350 |
← Payers reporting CPT 24530 · Snapshot 20261112T124536Z-e251e855