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
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx
The hospitals that file a Carefirst 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.
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27 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $56.18 | $25.85 – $83.63 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $380.10 | $215.47 – $522.70 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $380.10 | $215.47 – $522.70 |
| 4 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $7,500 | $7,500 – $7,500 |
| 5 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $575.89 | $539.47 – $625.37 |
| 6 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 3 | $838.19 | $578.97 – $1,011 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $715.14 | $197.28 – $1,233 |
| 8 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $8,661 | $6,895 – $10,443 |
| 9 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $8,661 | $6,895 – $10,443 |
| 10 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 1 | $8,619 | $6,895 – $10,343 |
| 11 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $8,703 | $6,962 – $10,443 |
| 12 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $8,661 | $6,895 – $10,443 |
| 13 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $8,661 | $6,895 – $10,443 |
| 14 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 15 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $5,426 | $5,047 – $5,804 |
| 16 | RESTON HOSPITAL CENTER Reston, VA case rate · outpatient | 2 | $5,081 | $5,081 – $5,081 |
| 17 | STONESPRINGS HOSPITAL CENTER Dulles, VA case rate · outpatient | 2 | $5,081 | $5,081 – $5,081 |
| 18 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $5,518 | $5,518 – $5,518 |
| 19 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · both | 3 | $112.87 | $35.88 – $160.26 |
| 20 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · inpatient | 3 | $409.65 | $133.55 – $655.52 |
| 21 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · outpatient | 3 | $416.06 | $133.55 – $668.33 |
| 22 | St Mary Medical Center Langhorne, PA professional · fee schedule · both | 3 | $40.60 | $29.40 – $48.60 |
| 23 | St Mary Medical Center Langhorne, PA professional · fee schedule · inpatient | 3 | $241.52 | $147.00 – $303.74 |
| 24 | St Mary Medical Center Langhorne, PA professional · fee schedule · outpatient | 3 | $241.52 | $147.00 – $303.74 |
| 25 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $5,194 | $4,871 – $5,517 |
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