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
HC General Health Panel
Low
$16
Average
$152
Median
$120
High
$645
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 4.6× 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 Carefirst 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 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 2 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 6 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 7 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 8 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 9 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 11 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · fee schedule · both | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 12 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 14 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 15 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 17 | Samaritan Hospital Troy, NY facility · case rate · both | 2 | $266 | $244 | $39 | 16% | — | $176 – $266 |
| 18 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 19 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 21 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 22 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $354 | $354 | — | — | — | $354 – $354 |
| 23 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 24 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 25 | St Peters Hospital Albany, NY facility · case rate · both | 2 | $266 | $253 | $23 | 9% | — | $213 – $266 |
← Payers reporting CPT 80050 · Snapshot 20261111T120946Z-9134e7f7