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
Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Sm Vsl|RIGHT SIDE
Low
$1.0k
Average
$38.7k
Median
$28.9k
High
$75.3k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 5.0× 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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26 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 | $20.7k | $45.4k | $41.7k | 92% | — | $11.3k – $104.2k |
| 2 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $53.7k | $53.7k | — | — | — | $53.7k – $53.7k |
| 3 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $32.1k | $32.1k | — | — | — | $32.1k – $32.1k |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 5 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 6 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $68.5k | $68.5k | — | — | — | $68.5k – $68.5k |
| 7 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $65.9k | $65.9k | — | — | — | $65.9k – $65.9k |
| 8 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $65.9k | $65.9k | — | — | — | $65.9k – $65.9k |
| 9 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $65.9k | $65.9k | — | — | — | $65.9k – $65.9k |
| 10 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $53.0k | $61.8k | $12.5k | 20% | — | $53.0k – $79.5k |
| 11 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $68.5k | $68.5k | — | — | — | $68.5k – $68.5k |
| 12 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 13 | Samaritan Hospital Troy, NY facility · other · both | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 14 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $35.8k | $41.7k | $8.4k | 20% | — | $35.8k – $53.7k |
| 15 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 17 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $28.9k | $28.9k | — | — | — | $28.9k – $28.9k |
| 18 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 19 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $20.9k | $20.9k | — | — | — | $20.9k – $20.9k |
| 20 | St Peters Hospital Albany, NY facility · fee schedule · both | 1 | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 21 | St Peters Hospital Albany, NY facility · other · both | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 22 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $13.7k | $16.0k | $3.2k | 20% | — | $13.7k – $20.6k |
| 23 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $75.3k | $75.3k | — | — | — | $75.3k – $75.3k |
| 24 | The Mercy Hospital Inc Springfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $22.9k | $26.7k | $5.4k | 20% | — | $22.9k – $34.3k |
| 25 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $9.0k | $10.9k | $5.5k | 51% | — | $5.2k – $18.4k |
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