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 Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra
Low
$5
Average
$4.1k
Median
$3.7k
High
$13.1k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 27.5× 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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55 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 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 3 | $210 | $194 | $64 | 33% | — | $116 – $256 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 3 | $214 | $198 | $67 | 34% | — | $116 – $263 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 3 | $210 | $194 | $64 | 33% | — | $116 – $256 |
| 7 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 8 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 9 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 10 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 11 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 3 | $194 | $178 | $66 | 37% | — | $97 – $242 |
| 14 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $194 | $178 | $66 | 37% | — | $97 – $242 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 16 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 3 | $194 | $178 | $66 | 37% | — | $97 – $242 |
| 17 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $194 | $178 | $66 | 37% | — | $97 – $242 |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 19 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 3 | $237 | $229 | $65 | 29% | — | $134 – $292 |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 3 | $237 | $229 | $65 | 29% | — | $134 – $292 |
| 21 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 3 | $237 | $229 | $65 | 29% | — | $134 – $292 |
| 22 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 1 | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 24 | Mount Carmel East Reynoldsburg, OH facility · other · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 25 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · inpatient | 2 | $149 | $147 | $2 | 1% | — | $144 – $149 |
← Payers reporting CPT 63688 · Snapshot 20261111T120946Z-9134e7f7