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
Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn
Low
$3
Average
$22.9k
Median
$19.8k
High
$115.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
945 hospitals; the 90th percentile is 27.3× 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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1,336 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 | $49.3k | $75.6k | $64.5k | 85% | 782 | $5.4k – $159.2k |
| 2 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 7 | $47.2k | $43.3k | $26.1k | 60% | 297 | $7.3k – $81.0k |
| 3 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $32.0k | $40.5k | $43.0k | 106% | 252 | $2.8k – $137.3k |
| 4 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $58.6k | $58.9k | $42.0k | 71% | 124 | $5.9k – $123.1k |
| 5 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $15.2k | $15.2k | $7.2k | 47% | 92 | $8.0k – $22.4k |
| 6 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 6 | $42.7k | $45.4k | $32.6k | 72% | 88 | $4.7k – $94.9k |
| 7 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 2 | $16.4k | $16.3k | $5.7k | 35% | 67–76 | $9.3k – $23.2k |
| 8 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $20.0k | $20.0k | $2.5k | 12% | 56 | $17.6k – $22.5k |
| 9 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $743 | $743 | — | — | 18 | $743 – $743 |
| 10 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $7.1k | $8.1k | $3.4k | 42% | 17–35 | $4.6k – $12.7k |
| 11 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 3 | $24.9k | $17.4k | $12.1k | 70% | 13–22 | $241 – $26.9k |
| 12 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL other · outpatient | 1 | $11.9k | $11.9k | — | — | 11 | $11.9k – $11.9k |
| 13 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 6 | $34.5k | $41.1k | $30.5k | 74% | 8–80 | $7.3k – $95.6k |
| 14 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 6 | $13.1k | $18.2k | $15.4k | 85% | 8–80 | $5.1k – $63.8k |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $21.0k | $21.0k | — | — | 4–40 | $21.0k – $21.0k |
| 16 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 4 | $15.4k | $13.6k | $3.0k | 22% | 4–40 | $8.4k – $15.4k |
| 17 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · outpatient | 3 | $42.1k | $35.2k | $11.2k | 32% | 3–30 | $19.3k – $44.1k |
| 18 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · outpatient | 2 | $28.6k | $28.2k | $1.9k | 7% | 3–30 | $17.5k – $28.6k |
| 19 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43.6k | $43.6k | — | — | 2–20 | $43.6k – $43.6k |
| 20 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.7k | $8.7k | — | — | 2–20 | $8.7k – $8.7k |
| 21 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $6.5k | $6.5k | — | — | 2–20 | $6.5k – $6.5k |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · other · outpatient | 1 | $24.8k | $24.8k | — | — | 2–20 | $24.8k – $24.8k |
| 23 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 3 | $67.1k | $63.6k | $8.6k | 14% | 2–20 | $49.6k – $70.8k |
| 24 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 2 | $6.6k | $6.6k | — | — | 2–20 | $6.6k – $6.6k |
| 25 | Mayo Clinic Rochester, MN facility · other · outpatient | 3 | $23.5k | $23.3k | $291 | 1% | 2–20 | $22.8k – $23.5k |
← Payers reporting CPT 64590 · Snapshot 20261111T120946Z-9134e7f7