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
$6
Average
$333
Median
$352
High
$4.4k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
195 hospitals; the 90th percentile is 69.3× 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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207 hospital rates
iThe hospitals that file a Medicare 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 | Boston Medical Center Boston, MA other · both | 1 | $416 | $416 | — | — | 337 | $416 – $416 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $324 | $324 | — | — | 286 | $324 – $324 |
| 3 | Brigham and Women's Hospital Boston, MA other · both | 1 | $427 | $427 | — | — | 57 | $427 – $427 |
| 4 | Newton Wellesley Hospital Newton, MA other · both | 1 | $427 | $427 | — | — | 38 | $427 – $427 |
| 5 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $340 | $340 | — | — | 33 | $340 – $340 |
| 6 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $340 | $340 | — | — | 33 | $340 – $340 |
| 7 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient | 1 | $352 | $352 | — | — | 25 | $352 – $352 |
| 8 | Tufts Medical Center BOSTON, MA other · both | 1 | $1.3k | $1.3k | — | — | 25 | $1.3k – $1.3k |
| 9 | Lowell General Hospital Lowell, MA other · both | 1 | $1.3k | $1.3k | — | — | 20 | $1.3k – $1.3k |
| 10 | Reid Health Richmond, IN other · both | 3 | $406 | $406 | — | — | 19 | $406 – $406 |
| 11 | John Muir Health Walnut Creek, CA other · both | 3 | $506 | $506 | — | — | 8–80 | $506 – $506 |
| 12 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $6 | $6 | — | — | 2–20 | $6 – $6 |
| 13 | John Muir Health Walnut Creek, CA other · outpatient | 3 | $506 | $506 | — | — | 2–20 | $506 – $506 |
| 14 | Cooley Dickinson Hospital Northampton, MA other · both | 1 | $427 | $427 | — | — | 1–10 | $427 – $427 |
| 15 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $378 | $378 | — | — | 1–10 | $378 – $378 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN other · both | 1 | $379 | $379 | — | — | 1–10 | $379 – $379 |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN other · outpatient | 1 | $379 | $379 | — | — | 1–10 | $379 – $379 |
| 18 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 1 | $364 | $364 | — | — | 1–10 | $364 – $364 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 21 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 22 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $352 | $352 | — | — | 1–10 | $352 – $352 |
| 23 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $352 | $352 | — | — | 1–10 | $352 – $352 |
| 24 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 25 | North Memorial Health Care Robbinsdale, MN facility · other · both | 1 | $364 | $364 | — | — | 1–10 | $364 – $364 |
← Payers reporting CPT 86902 · Snapshot 20261111T120946Z-9134e7f7