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
Dosimetry Calculation Basic
Low
$34
Average
$398
Median
$259
High
$4.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
422 hospitals; the 90th percentile is 12.3× 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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830 hospital rates
iThe hospitals that file a Anthem 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 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $353 | $311 | $109 | 35% | 762–771 | $135 – $403 |
| 2 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 4 | $560 | $526 | $97 | 18% | 249–258 | $158 – $560 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $112 | $106 | $37 | 35% | 247 | $49 – $152 |
| 4 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 3 | $377 | $334 | $125 | 37% | 246 | $139 – $443 |
| 5 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $1.5k | $167 | 11% | 242 | $1.3k – $1.7k |
| 6 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $615 | $633 | $136 | 21% | 214 | $442 – $855 |
| 7 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 4 | $483 | $439 | $110 | 25% | 212 | $127 – $483 |
| 8 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 2 | $661 | $661 | $15 | 2% | 143 | $646 – $676 |
| 9 | John Muir Health Walnut Creek, CA fee schedule · outpatient | 4 | $1.2k | $1.2k | $711 | 57% | 130 | $370 – $2.6k |
| 10 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $422 | $129 | 31% | 89–107 | $290 – $559 |
| 11 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $565 | $476 | $136 | 29% | 87 | $284 – $580 |
| 12 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $108 | $108 | — | — | 77 | $108 – $108 |
| 13 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $422 | $129 | 31% | 72–90 | $290 – $559 |
| 14 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $565 | $476 | $136 | 29% | 70 | $284 – $580 |
| 15 | Columbus Regional Hospital Columbus, IN other · both | 1 | $139 | $139 | — | — | 65 | $139 – $139 |
| 16 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $422 | $129 | 31% | 60–78 | $290 – $559 |
| 17 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $565 | $476 | $136 | 29% | 58 | $284 – $580 |
| 18 | Mount Carmel Grove City Grove City, OH facility · other · both | 4 | $483 | $442 | $101 | 23% | 56 | $125 – $483 |
| 19 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · outpatient | 6 | $180 | $169 | $69 | 41% | 46 | $81 – $259 |
| 20 | John Muir Health Walnut Creek, CA other · outpatient | 1 | $190 | $190 | — | — | 42 | $190 – $190 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 2 | $374 | $374 | $251 | 67% | 41–50 | $124 – $625 |
| 22 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 6 | $310 | $376 | $202 | 54% | 41 | $169 – $718 |
| 23 | Norton Kings Daughters Health Inc Madison, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $349 | $243 | $150 | 61% | 39 | $32 – $349 |
| 24 | St Peters Hospital Albany, NY facility · other · both | 3 | $386 | $347 | $82 | 24% | 38 | $164 – $386 |
| 25 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $319 | $240 | 75% | 26 | $51 – $668 |
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