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 Insj 1+
Low
$3
Average
$8.0k
Median
$6.7k
High
$26.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
632 hospitals; the 90th percentile is 6.7× 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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813 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 Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $9.4k | $16.5k | $12.9k | 78% | 135 | $8.6k – $40.5k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $17.4k | $22.0k | $8.5k | 39% | 80 | $16.5k – $36.7k |
| 3 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $5.2k | $5.2k | — | — | 30 | $5.2k – $5.2k |
| 4 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 6 | $9.4k | $9.2k | $4.7k | 51% | 8–80 | $2.7k – $18.4k |
| 5 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 4 | $4.1k | $3.6k | $812 | 22% | 4–40 | $2.2k – $4.1k |
| 6 | Pender Memorial Hospital, Incorporated Burgaw, NC percent of total billed charges · outpatientfrom % of charges | 2 | $366 | $366 | — | — | 2–20 | $366 – $366 |
| 7 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $2.5k | $2.5k | — | — | 2–20 | $2.5k – $2.5k |
| 8 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $15.9k | $15.9k | — | — | 1–10 | $15.9k – $15.9k |
| 9 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 10 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 11 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.6k | $3.2k | $1.2k | 37% | 1–10 | $2.2k – $4.9k |
| 12 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $1.0k | $892 | $205 | 23% | — | $604 – $1.1k |
| 13 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $1.0k | $891 | $206 | 23% | — | $601 – $1.1k |
| 14 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 5 | $601 | $684 | $333 | 49% | — | $145 – $1.1k |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $3.1k | $4.1k | $1.5k | 37% | — | $2.6k – $5.9k |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 17 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 5 | $10.0k | $13.4k | $11.3k | 85% | — | $4.9k – $35.5k |
| 18 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 19 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $5.7k | $4.4k | $2.3k | 51% | — | $1.2k – $6.2k |
| 20 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $5.7k | $4.4k | $2.2k | 51% | — | $1.2k – $6.2k |
| 21 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $5.7k | $4.4k | $2.2k | 51% | — | $1.2k – $6.2k |
| 22 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $5.6k | $5.6k | $83 | 1% | — | $5.6k – $5.7k |
| 23 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $5.7k | $4.4k | $2.2k | 51% | — | $1.2k – $6.2k |
| 24 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $5.7k | $4.4k | $2.2k | 51% | — | $1.2k – $6.2k |
| 25 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $5.7k | $5.7k | $404 | 7% | — | $5.3k – $6.1k |
← Payers reporting CPT 66991 · Snapshot 20261111T120946Z-9134e7f7