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
Litholapaxy Smpl/Sm <2.5 Cm
Low
$3
Average
$4.8k
Median
$4.3k
High
$17.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
432 hospitals; the 90th percentile is 8.0× 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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730 hospital rates
iThe hospitals that file a Anthem 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 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $9.3k | $8.2k | $2.9k | 35% | 6–60 | $3.5k – $10.6k |
| 2 | University of Virginia Prince William Medical Center Manassas, VA other · both | 3 | $9.6k | $8.5k | $3.1k | 37% | 6–60 | $3.6k – $11.3k |
| 3 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 3 | $9.9k | $8.8k | $3.3k | 37% | 3–30 | $3.6k – $11.6k |
| 4 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $7.9k | $7.9k | $877 | 11% | 2–20 | $7.1k – $8.8k |
| 5 | St Clare Memorial Hospital Inc OCONTO FALLS, WI percent of total billed charges · outpatientfrom % of charges | 1 | $896 | $896 | — | — | 2–20 | $896 – $896 |
| 6 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.8k | $4.8k | $1.6k | 33% | 2–20 | $3.2k – $6.4k |
| 7 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $9.3k | $8.2k | $2.9k | 35% | 2–20 | $3.5k – $10.6k |
| 8 | University of Virginia Prince William Medical Center Manassas, VA other · outpatient | 3 | $14.6k | $13.0k | $4.8k | 37% | 2–20 | $5.5k – $17.2k |
| 9 | Columbus Regional Hospital Columbus, IN percent of total billed charges · outpatientfrom % of charges | 1 | $11.3k | $11.3k | — | — | 1–10 | $11.3k – $11.3k |
| 10 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 4 | $5.3k | $4.2k | $1.9k | 45% | 1–10 | $926 – $5.5k |
| 11 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 3 | $4.3k | $3.4k | $1.5k | 42% | 1–10 | $1.4k – $4.7k |
| 12 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 13 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 14 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $25.9k | $26.0k | $165 | 1% | 1–10 | $25.9k – $26.3k |
| 15 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 16 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 17 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $12.2k | $12.2k | — | — | 1–10 | $12.2k – $12.2k |
| 18 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 19 | Inova Loudoun Hospital Leesburg, VA other · both | 1 | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 20 | John Muir Health Concord, CA case rate · outpatient | 4 | $9.0k | $9.7k | $1.5k | 15% | 1–10 | $8.2k – $11.7k |
| 21 | MIDSTATE MEDICAL CENTER MERIDEN, CT case rate · outpatient | 2 | $12.4k | $12.4k | $1.8k | 14% | 1–10 | $10.6k – $14.2k |
| 22 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 23 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 4 | $12.7k | $11.6k | $2.6k | 23% | 1–10 | $3.3k – $12.7k |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 25 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
← Payers reporting CPT 52317 · Snapshot 20261111T120946Z-9134e7f7