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
$3
Average
$288
Median
$171
High
$4.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1411 hospitals; the 90th percentile is 56.9× 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.
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2,213 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 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $36 | $42 | $14 | 33% | 934 | $30 – $65 |
| 2 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $36 | $42 | $14 | 33% | 934 | $30 – $65 |
| 3 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $20 | $20 | $0 | 0% | 707 | $20 – $20 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $951 | $1.1k | $696 | 64% | 589 | $145 – $3.0k |
| 5 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $50 | $56 | $24 | 42% | 256 | $30 – $87 |
| 6 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $50 | $56 | $24 | 42% | 256 | $30 – $87 |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $131 | $136 | $17 | 13% | 144 | $125 – $174 |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $140 | $124 | $41 | 33% | 126–153 | $32 – $151 |
| 9 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $15 | $15 | $0 | 0% | 125 | $15 – $15 |
| 10 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $422 | $464 | $72 | 16% | 103–112 | $354 – $547 |
| 11 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC fee schedule · both | 3 | $30 | $44 | $27 | 62% | 96 | $19 – $82 |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $68 | $65 | $11 | 18% | 88 | $47 – $76 |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $65 | $61 | $11 | 18% | 88 | $44 – $72 |
| 14 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $692 | $692 | $340 | 49% | 27–36 | $352 – $1.0k |
| 15 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 6 | $127 | $150 | $40 | 27% | 26–62 | $112 – $219 |
| 16 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $951 | $1.1k | $696 | 64% | 19–190 | $145 – $3.0k |
| 17 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | 18 | $86 – $86 |
| 18 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | 18 | $86 – $86 |
| 19 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $106 | $88 | $51 | 59% | 18–180 | $2 – $171 |
| 20 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $389 | $389 | $19 | 5% | 16 | $370 – $407 |
| 21 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 9 | $65 | $121 | $116 | 96% | 16–160 | $24 – $369 |
| 22 | Christian Hospital St. Louis, MO other · both | 1 | $359 | $359 | — | — | 12 | $359 – $359 |
| 23 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $131 | $132 | $6 | 4% | 12 | $124 – $142 |
| 24 | Gila Regional Medical Center Silver County, NM facility · fee schedule · both | 1 | $102 | $102 | — | — | 11 | $102 – $102 |
| 25 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · fee schedule · both | 1 | $20 | $20 | — | — | 11–110 | $20 – $20 |
← Payers reporting CPT 86902 · Snapshot 20261111T120946Z-9134e7f7