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
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Low
$7
Average
$23.1k
Median
$16.1k
High
$103.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
331 hospitals; the 90th percentile is 23.6× 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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512 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 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 2 | $14.0k | $14.0k | $7.0k | 50% | 2–20 | $7.0k – $21.0k |
| 2 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $8.1k | $8.1k | — | — | 2–20 | $8.1k – $8.1k |
| 3 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $7.9k | $7.9k | — | — | 1–10 | $7.9k – $7.9k |
| 4 | Santa Monica UCLA Medical Center and Orthopaedic Hospital Santa Monica, CA case rate · outpatient | 1 | $6.9k | $6.9k | — | — | 1–10 | $6.9k – $6.9k |
| 5 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 6 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $58.1k | $53.4k | $6.7k | 13% | 1–10 | $43.9k – $58.1k |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $18.4k | $24.7k | $22.1k | 89% | — | $1.4k – $54.4k |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $30.0k | $30.0k | — | — | — | $30.0k – $30.0k |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29.1k | $29.1k | — | — | — | $29.1k – $29.1k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $2.0k | $2.0k | $934 | 48% | — | $813 – $2.9k |
| 12 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 13 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $389 | $463 | $330 | 71% | — | $122 – $950 |
| 14 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $55.8k | $56.9k | $7.2k | 13% | — | $49.0k – $67.0k |
| 15 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $27.6k | $27.6k | — | — | — | $27.6k – $27.6k |
| 16 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $27.6k | $27.6k | — | — | — | $27.6k – $27.6k |
| 17 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $55.3k | $48.6k | $20.0k | 41% | — | $21.4k – $69.1k |
| 18 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $95.3k | $95.3k | — | — | — | $95.3k – $95.3k |
| 19 | Anderson Hospital Maryville, IL facility · case rate · outpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 20 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $842 | $842 | — | — | — | $842 – $842 |
| 21 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $842 | $842 | — | — | — | $842 – $842 |
| 22 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $842 | $842 | — | — | — | $842 – $842 |
| 23 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $564 | $564 | — | — | — | $564 – $564 |
| 24 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 9 | $1.0k | $2.9k | $5.2k | 182% | — | $1.0k – $17.6k |
| 25 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $80.3k | $80.3k | $61.1k | 76% | — | $19.2k – $141.3k |
← Payers reporting CPT 63655 · Snapshot 20261111T120946Z-9134e7f7