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
HDR RDNCL NTRSTL/ICAV BRCHTX
Low
$572
Average
$2.3k
Median
$2.3k
High
$8.6k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 2.7× 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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28 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 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $2.6k | $2.5k | $705 | 28% | — | $1.4k – $3.3k |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $2.6k | $2.5k | $705 | 28% | — | $1.4k – $3.3k |
| 4 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 7 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 9 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $2.6k | $2.5k | $705 | 28% | — | $1.4k – $3.3k |
| 11 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $1.9k | $1.8k | $230 | 13% | — | $1.4k – $1.9k |
| 12 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $2.6k | $2.5k | $705 | 28% | — | $1.4k – $3.3k |
| 13 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $2.1k | $1.9k | $335 | 18% | — | $1.3k – $2.1k |
| 14 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $1.9k | $1.7k | $269 | 15% | — | $1.3k – $1.9k |
| 15 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $2.4k | $2.3k | $77 | 3% | — | $2.2k – $2.4k |
| 16 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $873 | $873 | — | — | — | $873 – $873 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $382 | $382 | — | — | — | $382 – $382 |
| 19 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $998 | $998 | — | — | — | $998 – $998 |
| 21 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 22 | St Peters Hospital Albany, NY facility · fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $517 | $517 | — | — | — | $517 – $517 |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $517 | $517 | — | — | — | $517 – $517 |
| 25 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $2.7k | $2.5k | $709 | 28% | — | $1.4k – $3.3k |
← Payers reporting CPT 77771 · Snapshot 20261112T124536Z-e251e855