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
facility
Low
$5
Average
$72
Median
$42
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1427 hospitals; the 90th percentile is 7.0× 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
2,104 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 | 9 | $56 | $115 | $131 | 113% | 440 | $11 – $542 |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $67 | $67 | $0 | 0% | 191–200 | $66 – $67 |
| 3 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 6 | $66 | $70 | $50 | 71% | 172–181 | $21 – $150 |
| 4 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 6 | $66 | $70 | $50 | 71% | 172–181 | $21 – $150 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $31 | $28 | 91% | 147–237 | $23 – $148 |
| 6 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | $2 | 3% | 100 | $69 – $74 |
| 7 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | $2 | 3% | 100 | $69 – $74 |
| 8 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $475 | $475 | — | — | 96 | $475 – $475 |
| 9 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $21 | $21 | — | — | 73 | $21 – $21 |
| 10 | Holyoke Medical Center Holyoke, MA facility · other · outpatient | 3 | $42 | $42 | — | — | 67–76 | $42 – $42 |
| 11 | North Adams Regional Hospital North Adams, MA facility · other · outpatient | 3 | $153 | $151 | $5 | 3% | 60 | $145 – $156 |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $162 | $138 | $49 | 36% | 49–103 | $37 – $176 |
| 13 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $128 | $121 | $25 | 20% | 47 | $57 – $141 |
| 14 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $21 | $21 | — | — | 46 | $21 – $21 |
| 15 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 12 | $127 | $114 | $26 | 23% | 41–59 | $57 – $142 |
| 16 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $236 | $319 | $234 | 73% | 38 | $74 – $873 |
| 17 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $24 | $0 | 1% | 36–63 | $23 – $24 |
| 18 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | 35 | $99 – $99 |
| 19 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $20 | $20 | $1 | 4% | 32–95 | $20 – $21 |
| 20 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $50 | $39 | $14 | 35% | 30–75 | $22 – $51 |
| 21 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $70 | $76 | $12 | 16% | 27–63 | $58 – $90 |
| 22 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $11 | 26% | 23–59 | $31 – $53 |
| 23 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 9 | $125 | $109 | $32 | 29% | 19–55 | $57 – $141 |
| 24 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 18 | $125 – $125 |
| 25 | Parkland Health Center Farmington, MO percent of total billed charges · bothfrom % of charges | 5 | $166 | $167 | $31 | 18% | 15–33 | $135 – $200 |
← Payers reporting CPT 83921 · Snapshot 20261111T120946Z-9134e7f7