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
Dlyd Placement Xtn Prosth for Evasc Rpr Ea Addl
Low
$322
Average
$8.1k
Median
$2.5k
High
$20.5k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 34.2× 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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13 hospital rates
iThe hospitals that file a Premera 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 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 3 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 4 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 5 | MultiCare Deaconess Hospital Spokane, WA percent of total billed charges · outpatientfrom % of charges | 4 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | MultiCare Valley Hospital Spokane Valley, WA percent of total billed charges · outpatientfrom % of charges | 4 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $322 | $322 | $233 | 72% | — | $89 – $554 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $322 | $322 | $233 | 72% | — | $89 – $554 |
| 9 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 10 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 11 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Virginia Mason Medical Center Seattle, WA facility · case rate · outpatient | 2 | $22.1k | $22.1k | $7.3k | 33% | — | $14.7k – $29.4k |
| 13 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $464 | $464 | $169 | 36% | — | $295 – $634 |
← Payers reporting CPT 34711 · Snapshot 20261113T090226Z-3ce6c0b8