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
HC PERQ PULM ART REVASC EA ADDL VESSEL NORM/ABNORM CONN
Low
$255
Average
$6.6k
Median
$4.9k
High
$33.5k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 17.2× 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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49 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 | $255 | $255 | — | — | — | $255 – $255 |
| 2 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $3.2k | $3.2k | $669 | 21% | — | $2.5k – $3.9k |
| 3 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $3.2k | $3.2k | $669 | 21% | — | $2.5k – $3.9k |
| 4 | 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 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $2.5k | $2.5k | $25 | 1% | — | $2.5k – $2.6k |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 7 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 8 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 9 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $28.7k | $28.7k | — | — | — | $28.7k – $28.7k |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 14 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 15 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 16 | Summa Health System Wadsworth, OH fee schedule · outpatient | 3 | $1.1k | $1.1k | $80 | 7% | — | $966 – $1.1k |
| 17 | University Hospitals Health System Chardon, OH facility · case rate · outpatient | 2 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 19 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $10.0k | $10.0k | $2.9k | 29% | — | $7.1k – $12.9k |
| 20 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $4.8k | $6.7k | $4.5k | 66% | — | $2.5k – $12.9k |
| 21 | University Hospitals Health System Ravenna, OH facility · case rate · outpatient | 3 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 22 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 23 | University Hospitals Health System Ravenna, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $10.1k | $10.1k | $2.8k | 28% | — | $7.3k – $12.9k |
| 24 | University Hospitals Health System Ravenna, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $8.6k | $8.6k | $4.3k | 50% | — | $4.4k – $12.9k |
| 25 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
← Payers reporting CPT 33904 · Snapshot 20261113T090226Z-3ce6c0b8