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
SENSITIVITIES FSI
Low
$0
Average
$69
Median
$31
High
$5.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
494 hospitals; the 90th percentile is 8.0× 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.
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872 hospital rates
iThe hospitals that file a Anthem 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 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · outpatient | 4 | $59 | $71 | $58 | 81% | 2–20 | $15 – $151 |
| 2 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $25.9k | $26.0k | $165 | 1% | 1–10 | $25.9k – $26.3k |
| 3 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $51 | $42 | $20 | 47% | — | $15 – $60 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 9 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $99 | $35 | 36% | — | $68 – $158 |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $67 | $67 | $11 | 16% | — | $56 – $78 |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $55 | $55 | $19 | 35% | — | $32 – $79 |
| 12 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $15 | $16 | $2 | 12% | — | $14 – $18 |
| 13 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $10 | $10 | $4 | 43% | — | $6 – $15 |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 3 | $38 | $39 | $7 | 19% | — | $30 – $48 |
| 18 | American Hospital Management Corporation Arcata, CA facility · fee schedule · outpatient | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 19 | Anderson Hospital Maryville, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 20 | Anderson Hospital Maryville, IL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 21 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI other · outpatient | 4 | $22 | $25 | $6 | 23% | — | $20 – $34 |
| 25 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI other · outpatient | 4 | $22 | $25 | $6 | 23% | — | $20 – $34 |
← Payers reporting CPT 87118 · Snapshot 20261112T181611Z-3fa9fb76