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
OPTX DST RD XART FX/EP SEP3+
Low
$478
Average
$9.6k
Median
$8.3k
High
$38.8k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
445 hospitals; the 90th percentile is 12.7× 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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739 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 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 2 | $11.1k | $11.1k | $5.0k | 45% | 2–20 | $6.1k – $16.1k |
| 2 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $24.2k | $24.2k | $4.8k | 20% | 2–20 | $19.3k – $29.0k |
| 3 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $24.4k | $24.4k | $4.9k | 20% | 2–20 | $19.5k – $29.3k |
| 4 | Inova Loudoun Hospital Leesburg, VA other · both | 1 | $20.9k | $20.9k | $4.2k | 20% | 2–20 | $16.7k – $25.0k |
| 5 | MIDSTATE MEDICAL CENTER MERIDEN, CT case rate · outpatient | 2 | $7.8k | $7.8k | $1.1k | 14% | 2–20 | $6.7k – $8.9k |
| 6 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $21.7k | $23.3k | $10.7k | 46% | 2–20 | $7.3k – $38.5k |
| 7 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT case rate · outpatient | 2 | $13.6k | $13.6k | $1.9k | 14% | 2–20 | $11.6k – $15.5k |
| 8 | DIGNITY HEALTH Red Bluff, CA percent of total billed charges · outpatientfrom % of charges | 1 | $14.7k | $14.7k | — | — | 1–10 | $14.7k – $14.7k |
| 9 | DIGNITY HEALTH Camarillo, CA fee schedule · outpatient | 1 | $9.1k | $9.1k | — | — | 1–10 | $9.1k – $9.1k |
| 10 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 11 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $25.9k | $26.0k | $165 | 1% | 1–10 | $25.9k – $26.3k |
| 12 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 13 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $20.7k | $20.7k | — | — | 1–10 | $20.7k – $20.7k |
| 14 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 15 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $16.2k | $16.2k | $3.8k | 23% | 1–10 | $12.4k – $20.0k |
| 16 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 1 | $20.3k | $20.3k | — | — | 1–10 | $20.3k – $20.3k |
| 17 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI case rate · outpatient | 1 | $13.9k | $13.9k | — | — | 1–10 | $13.9k – $13.9k |
| 18 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT percent of total billed charges · outpatientfrom % of charges | 1 | $21.6k | $21.6k | — | — | 1–10 | $21.6k – $21.6k |
| 19 | Santa Monica UCLA Medical Center and Orthopaedic Hospital Santa Monica, CA case rate · outpatient | 1 | $10.9k | $10.9k | — | — | 1–10 | $10.9k – $10.9k |
| 20 | TWIN CITY HOSPITAL CORPORATION Dennison, OH percent of total billed charges · outpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 21 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20.5k | $20.5k | — | — | 1–10 | $20.5k – $20.5k |
| 22 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $21.7k | $23.3k | $10.7k | 46% | 1–10 | $7.3k – $38.5k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $17.3k | $14.8k | $5.8k | 39% | — | $6.9k – $20.3k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $2.5k | $2.4k | $1.2k | 49% | — | $938 – $3.6k |
← Payers reporting CPT 25609 · Snapshot 20261111T120946Z-9134e7f7