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
REPEAT SINGL/1ST MULTIP
Low
$58
Average
$188
Median
$135
High
$788
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 4.2× 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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107 hospital rates
iThe hospitals that file a Excellus 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 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $808 | $808 | — | — | 62–80 | $808 – $808 |
| 2 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 3 | $247 | $169 | $111 | 66% | 62–80 | $11 – $247 |
| 3 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $11 | $11 | — | — | 2–20 | $11 – $11 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $436 | $436 | — | — | 1–10 | $436 – $436 |
| 5 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · outpatient | 1 | $436 | $436 | — | — | 1–10 | $436 – $436 |
| 6 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $193 | $193 | $88 | 46% | 1–10 | $105 – $281 |
| 7 | Alice Hyde Medical Center Malone, NY facility · fee schedule · outpatient | 2 | $209 | $209 | $153 | 73% | — | $56 – $361 |
| 8 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 9 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $79 | $82 | $39 | 47% | — | $40 – $138 |
| 10 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 2 | $177 | $177 | $72 | 41% | — | $105 – $249 |
| 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 | 3 | $69 | $83 | $54 | 66% | — | $28 – $193 |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $69 | $83 | $54 | 66% | — | $28 – $193 |
| 14 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 3 | $69 | $83 | $54 | 66% | — | $28 – $193 |
| 16 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 3 | $69 | $83 | $54 | 66% | — | $28 – $193 |
| 17 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $123 | $269 | $247 | 92% | — | $67 – $617 |
| 18 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $76 | $81 | $38 | 47% | — | $38 – $138 |
| 19 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 21 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $69 | $83 | $54 | 66% | — | $28 – $193 |
| 23 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $69 | $83 | $54 | 66% | — | $28 – $193 |
| 24 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $174 | $174 | $61 | 35% | — | $112 – $234 |
| 25 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 3 | $114 | $118 | $15 | 13% | — | $101 – $138 |
← Payers reporting CPT 76816 · Snapshot 20261111T120946Z-9134e7f7