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
Thrmbc Opn Arven Fstl W/O Revj Dial Grf
Low
$159
Average
$7.6k
Median
$7.3k
High
$22k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 51.1× 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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28 hospital rates
iThe hospitals that file a Excellus 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 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $6.2k | $13.7k | $12.6k | 92% | — | $3.4k – $31.4k |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $558 | $572 | $218 | 38% | — | $313 – $847 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 4 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $15.8k | $15.8k | $3.4k | 21% | — | $12.4k – $19.2k |
| 5 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $9.8k | $9.2k | $905 | 10% | — | $7.9k – $9.8k |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 7 | MVHS, Inc. Utica, NY other · outpatient | 1 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 8 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 9 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $22k | $22k | — | — | — | $22k – $22k |
| 11 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 3 | $149 | $159 | $116 | 73% | — | $40 – $304 |
| 14 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 3 | $149 | $159 | $116 | 73% | — | $40 – $304 |
| 15 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 3 | $131 | $188 | $192 | 102% | — | $29 – $587 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $161 | $207 | $188 | 91% | — | $40 – $587 |
| 19 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $19.4k | $19.4k | $12.5k | 64% | — | $6.9k – $31.9k |
| 20 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 21 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · both | 3 | $152 | $292 | $337 | 115% | — | $42 – $1.0k |
| 22 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 23 | St Peters Hospital Albany, NY facility · other · outpatient | 2 | $6.9k | $6.9k | $730 | 11% | — | $6.2k – $7.6k |
| 24 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 25 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 3 | $12.2k | $11.3k | $1.4k | 12% | — | $9.3k – $12.2k |
← Payers reporting CPT 36831 · Snapshot 20261112T181611Z-3fa9fb76