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
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam
Low
$237
Average
$9.0k
Median
$4.7k
High
$64.8k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 20.0× 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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29 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $287 | $285 | $105 | 37% | — | $168 – $390 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $287 | $285 | $105 | 37% | — | $168 – $390 |
| 4 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $443 | $431 | $23 | 5% | — | $399 – $452 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 6 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 7 | MedStar Washington Hospital Center NW, WA facility · case rate · outpatient | 2 | $1.9k | $1.9k | $150 | 8% | — | $1.8k – $2.1k |
| 8 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 10 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 11 | Mount Carmel East Reynoldsburg, OH facility · other · outpatient | 1 | $64.8k | $64.8k | — | — | — | $64.8k – $64.8k |
| 12 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · inpatient | 2 | $153 | $162 | $12 | 8% | — | $153 – $179 |
| 13 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 2 | $153 | $162 | $12 | 8% | — | $153 – $179 |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $64.8k | $64.8k | — | — | — | $64.8k – $64.8k |
| 15 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 16 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $5.2k | $5.2k | $687 | 13% | — | $4.5k – $5.9k |
| 17 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 18 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $6.8k | $6.8k | $474 | 7% | — | $6.3k – $7.3k |
| 19 | RESTON HOSPITAL CENTER Reston, VA case rate · outpatient | 2 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 20 | STONESPRINGS HOSPITAL CENTER Dulles, VA case rate · outpatient | 2 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 3 | $260 | $237 | $89 | 37% | — | $129 – $323 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 3 | $260 | $237 | $89 | 37% | — | $129 – $323 |
| 24 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · inpatient | 3 | $260 | $237 | $89 | 37% | — | $129 – $323 |
| 25 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · outpatient | 3 | $260 | $237 | $89 | 37% | — | $129 – $323 |
← Payers reporting CPT 62350 · Snapshot 20261112T124536Z-e251e855