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
THRC FASCIAL PLN BLK BI NJX
Low
$57
Average
$550
Median
$219
High
$1.9k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 21.8× 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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17 hospital rates
iThe hospitals that file a Excellus 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 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 2 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $51 | $51 | $19 | 38% | — | $32 – $70 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $51 | $51 | $19 | 38% | — | $32 – $70 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 6 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $134 | $134 | — | — | — | $134 – $134 |
| 7 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 8 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $441 | $441 | $283 | 64% | — | $158 – $723 |
| 11 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $635 | $635 | — | — | — | $635 – $635 |
| 12 | Strong Memorial Hospital Rochester, NY fee schedule · both | 3 | $197 | $222 | $128 | 57% | — | $38 – $557 |
| 13 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 2 | $157 | $157 | — | — | — | $157 – $157 |
| 14 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $183 | $183 | $127 | 69% | — | $56 – $310 |
| 15 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $417 | $504 | $257 | 51% | — | $243 – $854 |
| 16 | University of Vermont Medical Center Inc Colchester, VT professional · fee schedule · both | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 17 | University of Vermont Medical Center Inc Colchester, VT professional · percent of total billed charges · bothfrom % of charges | 1 | $410 | $410 | — | — | — | $410 – $410 |
← Payers reporting CPT 64468 · Snapshot 20261112T181611Z-3fa9fb76