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
Lysis of Adhesions Salpinx/Ovary
Low
$279
Average
$916
Median
$674
High
$2.2k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 6.0× 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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21 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 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $788 | $888 | $152 | 17% | — | $774 – $1.1k |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $674 | $674 | — | — | — | $674 – $674 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $58 | $74 | $47 | 64% | — | $20 – $138 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $365 | $473 | $283 | 60% | — | $192 – $861 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $365 | $473 | $283 | 60% | — | $192 – $861 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 3 | $371 | $344 | $215 | 63% | — | $59 – $654 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 3 | $371 | $344 | $215 | 63% | — | $59 – $654 |
| 8 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | Saint Marys Hospital Waterbury, CT professional · fee schedule · both | 3 | $204 | $318 | $311 | 98% | — | $51 – $952 |
| 10 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 3 | $181 | $296 | $313 | 106% | — | $46 – $952 |
| 11 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 3 | $194 | $315 | $312 | 99% | — | $51 – $952 |
| 12 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $2.2k | $2.2k | $1.4k | 64% | — | $784 – $3.6k |
| 13 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | St Mary Medical Center Langhorne, PA professional · fee schedule · both | 3 | $81 | $186 | $169 | 91% | — | $65 – $504 |
| 15 | St Mary Medical Center Langhorne, PA professional · fee schedule · inpatient | 3 | $423 | $417 | $74 | 18% | — | $324 – $504 |
| 16 | St Mary Medical Center Langhorne, PA professional · fee schedule · outpatient | 3 | $423 | $417 | $74 | 18% | — | $324 – $504 |
| 17 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 3 | $120 | $218 | $224 | 103% | — | $50 – $749 |
| 18 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · inpatient | 3 | $405 | $497 | $180 | 36% | — | $336 – $749 |
| 19 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 3 | $405 | $497 | $180 | 36% | — | $336 – $749 |
| 20 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $2.2k | $2.2k | $1.5k | 69% | — | $666 – $3.7k |
| 21 | University of Vermont Medical Center Inc Colchester, VT professional · fee schedule · both | 3 | $778 | $1.3k | $698 | 55% | — | $774 – $2.3k |
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