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 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.
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29 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $541.30 | $459.91 – $646.71 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $47.98 | $25.85 – $83.63 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $328.90 | $215.47 – $522.70 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $328.90 | $215.47 – $522.70 |
| 5 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $14,960 | $3,722 – $34,324 |
| 6 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $556.08 | $504.25 – $646.71 |
| 7 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $393.56 | $393.56 – $393.56 |
| 8 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 4 | $5,164 | $388.99 – $20,405 |
| 9 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $9,744 | $8,382 – $10,425 |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $715.14 | $197.28 – $1,233 |
| 11 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $22,000 | $22,000 – $22,000 |
| 12 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $4,169 | $388.99 – $7,914 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 14 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $953.56 | $953.56 – $953.56 |
| 15 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 4 | $4,017 | $388.99 – $12,789 |
| 16 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $20,654 | $7,390 – $33,918 |
| 17 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $660.06 | $660.06 – $660.06 |
| 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 | $101.02 | $35.88 – $160.26 |
| 20 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · inpatient | 2 | $439.88 | $224.24 – $655.52 |
| 21 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · outpatient | 2 | $446.29 | $224.24 – $668.33 |
| 22 | St Mary Medical Center Langhorne, PA professional · fee schedule · both | 3 | $39.01 | $29.40 – $48.60 |
| 23 | St Mary Medical Center Langhorne, PA professional · fee schedule · inpatient | 3 | $231.55 | $147.00 – $303.74 |
| 24 | St Mary Medical Center Langhorne, PA professional · fee schedule · outpatient | 3 | $231.55 | $147.00 – $303.74 |
| 25 | St. James Hospital Hornell, NY fee schedule · outpatient | 3 | $9,094 | $388.99 – $17,764 |
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