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
$3
Average
$24.1k
Median
$20.7k
High
$141.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
829 hospitals; the 90th percentile is 19.8× 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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1,079 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 12 | $56.7k | $89.5k | $62.2k | 69% | 17–170 | $12.4k – $179.9k |
| 2 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $68.0k | $118.8k | $92.8k | 78% | 9–90 | $61.9k – $292.0k |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $112.1k | $141.6k | $54.7k | 39% | 8–80 | $106.2k – $236.0k |
| 4 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 6 | $86.9k | $84.6k | $55.7k | 66% | 8–80 | $24.2k – $141.4k |
| 5 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $6.6k | $6.5k | $233 | 4% | 3–30 | $6.1k – $6.6k |
| 6 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $12.3k | $12.3k | — | — | 2–20 | $12.3k – $12.3k |
| 7 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $37.4k | $37.4k | — | — | 2–20 | $37.4k – $37.4k |
| 8 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $20.7k | $20.7k | — | — | 2–20 | $20.7k – $20.7k |
| 9 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.4k | $4.4k | — | — | 2–20 | $4.4k – $4.4k |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 5 | $25.3k | $30.7k | $14.8k | 48% | 1–10 | $10.6k – $50.4k |
| 11 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · outpatient | 1 | $23.2k | $23.2k | — | — | 1–10 | $23.2k – $23.2k |
| 12 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 13 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 14 | Mayo Clinic Rochester, MN facility · other · outpatient | 3 | $23.5k | $23.3k | $291 | 1% | 1–10 | $22.8k – $23.5k |
| 15 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.6k | $17.6k | — | — | 1–10 | $17.6k – $17.6k |
| 16 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 17 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 18 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 19 | Mercy Health Hackley Campus Muskogen, MI facility · other · outpatient | 2 | $24.8k | $24.8k | $7.5k | 30% | 1–10 | $17.2k – $32.3k |
| 20 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 21 | Morton Plant NorthBay Hospital Lutz, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 22 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 2 | $22.0k | $22.0k | $325 | 1% | 1–10 | $21.7k – $22.3k |
| 23 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 3 | $14.8k | $16.3k | $2.7k | 16% | 1–10 | $14.1k – $20.1k |
| 24 | Palos Community Hospital Palos Heights, IL other · outpatient | 1 | $17.5k | $17.5k | — | — | 1–10 | $17.5k – $17.5k |
| 25 | SOUTH MIAMI HOSPITAL Weston, FL percent of total billed charges · outpatientfrom % of charges | 1 | $10.8k | $10.8k | — | — | 1–10 | $10.8k – $10.8k |
← Payers reporting CPT 63655 · Snapshot 20261111T120946Z-9134e7f7