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
facility
Low
$1
Average
$391
Median
$265
High
$10.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1403 hospitals; the 90th percentile is 6.0× 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.
Filter by billing methodology
Filter by billing class
2,281 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 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $408 | $17 | 4% | 495 | $377 – $419 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $240 | $228 | $40 | 18% | 344 | $164 – $268 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $227 | $216 | $38 | 18% | 344 | $155 – $253 |
| 4 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $2.6k | $1.9k | $906 | 47% | 326–335 | $647 – $2.6k |
| 5 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $2.6k | $1.9k | $906 | 47% | 326–335 | $647 – $2.6k |
| 6 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $379 | $391 | $142 | 36% | 312–321 | $145 – $560 |
| 7 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $379 | $391 | $142 | 36% | 312–321 | $145 – $560 |
| 8 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $379 | $391 | $142 | 36% | 310–319 | $145 – $560 |
| 9 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $379 | $391 | $142 | 36% | 309–318 | $145 – $560 |
| 10 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $379 | $391 | $142 | 36% | 308–317 | $145 – $560 |
| 11 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $232 | $232 | — | — | 302 | $232 – $232 |
| 12 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $165 | $165 | $0 | 0% | 226 | $165 – $166 |
| 13 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $251 | $251 | $12 | 5% | 211 | $239 – $263 |
| 14 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $908 | $908 | — | — | 202 | $908 – $908 |
| 15 | Northfield Hospital Northfield, MN other · both | 1 | $325 | $325 | — | — | 170 | $325 – $325 |
| 16 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $81 | $114 | $67 | 59% | 165–300 | $30 – $214 |
| 17 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $408 | $17 | 4% | 131 | $377 – $419 |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · both | 4 | $344 | $332 | $36 | 11% | 120–156 | $267 – $364 |
| 19 | Lowell General Hospital Lowell, MA fee schedule · both | 2 | $161 | $161 | — | — | 120–129 | $161 – $161 |
| 20 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $631 | $625 | $16 | 2% | 111 | $598 – $639 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 2 | $80 | $80 | $22 | 27% | 109 | $58 – $102 |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · outpatient | 2 | $80 | $80 | $22 | 27% | 109 | $58 – $102 |
| 23 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 2 | $687 | $687 | $31 | 5% | 108 | $656 – $718 |
| 24 | Newton Wellesley Hospital Newton, MA other · outpatient | 2 | $199 | $199 | — | — | 106 | $199 – $199 |
| 25 | St Mary Mercy Livonia Livonia, MI facility · other · both | 2 | $80 | $80 | $22 | 27% | 99 | $58 – $102 |
← Payers reporting CPT 76805 · Snapshot 20261111T120946Z-9134e7f7