CPT 86930
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 FREEZE, EACH UNIT
Low
$83
Average
$225
Median
$230
High
$380
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 2.7× 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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42 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $244 | $244 | — | — | — | $244 – $244 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $244 | $240 | $57 | 24% | — | $107 – $365 |
| 3 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $104 | $104 | $5 | 5% | — | $99 – $109 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 3 | $279 | $277 | $84 | 31% | — | $162 – $386 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $244 | $244 | — | — | — | $244 – $244 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $244 | $237 | $54 | 23% | — | $106 – $346 |
| 8 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 2 | $219 | $243 | $86 | 35% | — | $163 – $370 |
| 9 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 10 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $104 | $104 | $5 | 5% | — | $99 – $109 |
| 11 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $59 | $83 | $35 | 42% | — | $59 – $132 |
| 12 | Einstein Medical Center Montgomery East Norriton, PA fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 13 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 14 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $244 | $244 | — | — | — | $244 – $244 |
| 15 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $244 | $238 | $54 | 23% | — | $114 – $340 |
| 16 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 17 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 18 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $244 | $244 | — | — | — | $244 – $244 |
| 19 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $244 | $219 | $43 | 20% | — | $77 – $271 |
| 20 | Lankenau Medical Center Wynnewood, PA facility · fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 21 | Lower Bucks Hospital Bristol, PA fee schedule · outpatient | 1 | $373 | $373 | — | — | — | $373 – $373 |
| 22 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $365 | $351 | $95 | 27% | — | $228 – $460 |
| 23 | Paoli Hospital Paoli, PA facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 24 | Riddle Memorial Hospital Media, PA facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 25 | Roxborough Memorial Hospital PA 19128; 2701 DeKalb Pike East Norriton, PA fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
← Payers reporting CPT 86930 · Snapshot 20261113T090226Z-3ce6c0b8