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
US Nrv&Acc Strux 1 Xtr Compre W/Img PR Extremity
Low
$13
Average
$203
Median
$159
High
$480
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 6.8× 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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35 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 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 2 | $65 | $65 | $8 | 12% | — | $57 – $73 |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $123 | $269 | $247 | 92% | — | $67 – $617 |
| 3 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 2 | $64 | $64 | $9 | 14% | — | $54 – $73 |
| 4 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 6 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 2 | $79 | $79 | $11 | 14% | — | $68 – $90 |
| 7 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 4 | $123 | $155 | $149 | 96% | — | $13 – $360 |
| 8 | Highland Hospital Rochester, NY fee schedule · outpatient | 7 | $13 | $81 | $80 | 98% | — | $13 – $184 |
| 9 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 10 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 11 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 12 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 13 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 15 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 16 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 17 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 4 | $119 | $119 | $106 | 89% | — | $13 – $226 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 19 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 3 | $57 | $74 | $25 | 34% | — | $54 – $109 |
| 23 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $365 | $365 | $234 | 64% | — | $131 – $599 |
| 24 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 25 | St Mary Medical Center Langhorne, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $480 | $480 | — | — | — | $480 – $480 |
← Payers reporting CPT 76883 · Snapshot 20261112T181611Z-3fa9fb76