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
HB Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn
Low
$52
Average
$1.4k
Median
$1.6k
High
$3.4k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 11.0× 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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93 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 percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.3k | $155 | 12% | 4–40 | $1.1k – $1.5k |
| 2 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $752 | $752 | — | — | 1–10 | $752 – $752 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $721 | $721 | — | — | — | $721 – $721 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $721 | $721 | — | — | — | $721 – $721 |
| 7 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $721 | $721 | — | — | — | $721 – $721 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 13 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 14 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $695 | $695 | — | — | — | $695 – $695 |
| 15 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $1.6k | $1.6k | $615 | 39% | — | $808 – $2.3k |
| 16 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 3 | $1.6k | $1.6k | $615 | 39% | — | $808 – $2.3k |
| 17 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $2.6k | $2.4k | $750 | 32% | — | $1.1k – $3.2k |
| 18 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 3 | $2.7k | $2.2k | $963 | 44% | — | $831 – $3.0k |
| 19 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 3 | $1.9k | $1.6k | $566 | 36% | — | $794 – $2.1k |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 21 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 22 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · outpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 23 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · inpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 24 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 25 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $2.6k | $2.4k | $750 | 32% | — | $1.1k – $3.2k |
← Payers reporting CPT 62321 · Snapshot 20261111T120946Z-9134e7f7