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
$95
Average
$346
Median
$329
High
$885
Each hospital's average Premera rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 4.0× 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.
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96 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $498 | $498 | — | — | 147 | $498 – $498 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $498 | $498 | — | — | 147 | $498 – $498 |
| 3 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $416 | $416 | — | — | 50 | $416 – $416 |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $297 | $311 | $196 | 63% | 8–80 | $108 – $523 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $161 | $161 | $77 | 48% | 1–10 | $84 – $238 |
| 6 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $376 | $376 | — | — | 1–10 | $376 – $376 |
| 7 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $436 | $436 | — | — | 1–10 | $436 – $436 |
| 8 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $236 | $236 | $113 | 48% | 1–10 | $123 – $349 |
| 9 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $787 | $787 | $36 | 5% | — | $750 – $823 |
| 10 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $837 | $837 | $39 | 5% | — | $798 – $876 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $161 | $161 | $77 | 48% | — | $84 – $238 |
| 13 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 14 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 1 | $161 | $161 | $77 | 48% | — | $84 – $238 |
| 15 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 1 | $161 | $161 | $77 | 48% | — | $84 – $238 |
| 16 | Central Washington Health Services Association Wenatchee, WA fee schedule · both | 5 | $224 | $211 | $90 | 42% | — | $77 – $341 |
| 17 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 18 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $885 | $885 | — | — | — | $885 – $885 |
| 19 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $885 | $885 | — | — | — | $885 – $885 |
| 20 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $823 | $823 | — | — | — | $823 – $823 |
| 21 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 22 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 23 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $465 | $465 | — | — | — | $465 – $465 |
| 24 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 25 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $255 | $249 | $100 | 40% | — | $124 – $368 |
← Payers reporting CPT 76805 · Snapshot 20261111T120946Z-9134e7f7