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
HC DI ORBITS LESS THAN 4 VIEW, LIMITED
Low
$1
Average
$309
Median
$165
High
$18.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1396 hospitals; the 90th percentile is 5.2× 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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2,241 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 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $106 | $106 | — | — | 21 | $106 – $106 |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $30 | $30 | — | — | 6–60 | $30 – $30 |
| 3 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $147 | $158 | $77 | 49% | 4–40 | $73 – $248 |
| 4 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $329 | $332 | $180 | 54% | 4–40 | $149 – $521 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $113 | $107 | $19 | 18% | 4–40 | $77 – $126 |
| 6 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $83 | $83 | — | — | 4–40 | $83 – $83 |
| 7 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $484 | $494 | $14 | 3% | 3–30 | $484 – $514 |
| 8 | Desert Valley Hospital Victorville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | 2–20 | $272 – $272 |
| 9 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | $124 | 44% | 2–20 | $159 – $406 |
| 10 | Holyoke Medical Center Holyoke, MA facility · other · outpatient | 3 | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 11 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 6 | $158 | $188 | $106 | 56% | 2–20 | $65 – $401 |
| 12 | North Adams Regional Hospital North Adams, MA facility · other · outpatient | 3 | $253 | $255 | $25 | 10% | 2–20 | $222 – $287 |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 2 | $80 | $80 | $22 | 27% | 2–20 | $58 – $102 |
| 14 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $397 | $397 | — | — | 2–20 | $397 – $397 |
| 15 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 1 | $96 | $96 | — | — | 2–20 | $96 – $96 |
| 16 | Virtua_Willingboro_Hospital_Inc Willinboro, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $284 | $284 | $17 | 6% | 2–20 | $267 – $302 |
| 18 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $618 | $618 | — | — | 1–10 | $618 – $618 |
| 19 | Brigham and Women's Hospital Boston, MA other · both | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 20 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $460 | $460 | — | — | 1–10 | $460 – $460 |
| 21 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $66 | $66 | $0 | 0% | 1–10 | $65 – $66 |
| 22 | Cooley Dickinson Hospital Northampton, MA other · both | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 23 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 1–10 | $408 – $408 |
| 24 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · both | 4 | $344 | $332 | $36 | 11% | 1–10 | $267 – $364 |
| 25 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN other · both | 4 | $420 | $399 | $75 | 19% | 1–10 | $267 – $469 |
← Payers reporting CPT 70200 · Snapshot 20261111T120946Z-9134e7f7