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 Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl
Low
$749
Average
$14.3k
Median
$9.9k
High
$56.2k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 7.1× 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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19 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 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $36.1k | $36.1k | — | — | — | $36.1k – $36.1k |
| 2 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $36.1k | $36.1k | — | — | — | $36.1k – $36.1k |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $61.1k | $59.6k | $2.2k | 4% | — | $55.6k – $61.1k |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $61.1k | $59.6k | $2.2k | 4% | — | $55.6k – $61.1k |
| 5 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 6 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 7 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $7.9k | $9.2k | $1.9k | 20% | — | $7.9k – $11.8k |
| 8 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $7.8k | $9.1k | $1.8k | 20% | — | $7.8k – $11.7k |
| 9 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 10 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 11 | Saint Marys Hospital Waterbury, CT facility · fee schedule · both | 1 | $753 | $753 | — | — | — | $753 – $753 |
| 12 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $14.7k | $17.1k | $3.5k | 20% | — | $14.7k – $22.0k |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $8.6k | $10.0k | $2.0k | 20% | — | $8.6k – $12.9k |
| 14 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $8.5k | $9.9k | $2.0k | 20% | — | $8.5k – $12.8k |
| 15 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $8.5k | $9.9k | $2.0k | 20% | — | $8.5k – $12.8k |
| 16 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 17 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $14.8k | $17.2k | $3.5k | 20% | — | $14.8k – $22.2k |
| 18 | St. Francis Hospital Inc Wilmington, DE facility · percent of total billed charges · bothfrom % of charges | 1 | $20.0k | $23.3k | $4.7k | 20% | — | $20.0k – $30.0k |
| 19 | The Mercy Hospital Inc Springfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $24.6k | $28.7k | $5.8k | 20% | — | $24.6k – $36.9k |
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