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
Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx W/Ecp
Low
$365
Average
$6.4k
Median
$3.6k
High
$20.9k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 18.6× 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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69 hospital rates
iThe hospitals that file a First Health 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 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 2 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 3 | Bexar County Hospital District San Antonio, TX case rate · outpatient | 1 | $794 | $794 | — | — | — | $794 – $794 |
| 4 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 2 | $2.9k | $2.9k | $891 | 31% | — | $2.0k – $3.8k |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $945 | $945 | — | — | — | $945 – $945 |
| 6 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 7 | DIGNITY COMMUNITY CARE Northridge, CA case rate · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 8 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 9 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 10 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 11 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $945 | $945 | — | — | — | $945 – $945 |
| 12 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 13 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 14 | Legacy Emanuel Medical Center Portland, OR fee schedule · outpatient | 1 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 15 | Legacy Good Samaritan Medical Center Portland, OR fee schedule · outpatient | 1 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 16 | Legacy Meridian Park Medical Center Tualatin, OR fee schedule · outpatient | 1 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 17 | Legacy Mount Hood Medical Center Gresham, OR fee schedule · outpatient | 1 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 18 | Legacy Salmon Creek Medical Center Vancouver, WA fee schedule · outpatient | 1 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 19 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | METHODIST HOSPITAL HELOTES, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 21 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 22 | METHODIST HOSPITAL LANDMARK SAN ANTONIO, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 23 | METHODIST HOSPITAL HILL COUNTRY Fredericksburg, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 24 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
← Payers reporting CPT 66987 · Snapshot 20261112T181611Z-3fa9fb76