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 MOPATH PROC LEVEL 5 (IMNP)
Low
$1
Average
$544
Median
$411
High
$7.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1114 hospitals; the 90th percentile is 3.9× 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.
Filter by billing methodology
Filter by billing class
1,592 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 8 | $278 | $450 | $607 | 135% | 78–780 | $35 – $4.6k |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $334 | $369 | $226 | 61% | 73–730 | $59 – $1.1k |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $307 | $417 | $347 | 83% | 56–560 | $16 – $1.5k |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $306 | $418 | $389 | 93% | 56–560 | $4 – $1.4k |
| 5 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $298 | $404 | $387 | 96% | 26–260 | $4 – $1.4k |
| 6 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $346 | $460 | $393 | 85% | 26–260 | $18 – $1.4k |
| 7 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 7 | $343 | $436 | $381 | 87% | 26–260 | $11 – $1.4k |
| 8 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 6 | $325 | $419 | $375 | 89% | 26–260 | $9 – $1.4k |
| 9 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $97 | $66 | 68% | 17–35 | $24 – $184 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.7k | $33 | 1% | 13–130 | $2.6k – $2.8k |
| 11 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 2 | $143 | $171 | $92 | 54% | 12–120 | $83 – $382 |
| 12 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.7k | $791 | 47% | 10–100 | $231 – $2.8k |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.7k | $791 | 47% | 10–100 | $231 – $2.8k |
| 14 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $224 | $224 | $75 | 34% | 9–90 | $149 – $299 |
| 15 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $224 | $224 | $75 | 34% | 9–90 | $149 – $299 |
| 16 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $977 | $962 | $49 | 5% | 4–40 | $782 – $977 |
| 17 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $80 | 7% | 2–20 | $1.0k – $1.2k |
| 18 | Lake Regional Health System Osage Beach, MO fee schedule · both | 3 | $860 | $836 | $34 | 4% | 2–20 | $789 – $860 |
| 19 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $401 | $349 | 87% | 2–20 | $53 – $750 |
| 20 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $862 | $862 | $1 | 0% | 1–10 | $861 – $863 |
| 21 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $509 | $509 | $2 | 0% | 1–10 | $507 – $511 |
| 22 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 23 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 24 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 3 | $558 | $795 | $656 | 83% | 1–10 | $104 – $2.3k |
| 25 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 4 | $1.1k | $1.2k | $441 | 35% | 1–10 | $864 – $2.0k |
← Payers reporting CPT 81404 · Snapshot 20261111T120946Z-9134e7f7