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 GIARDIA DFA
Low
$16
Average
$74
Median
$68
High
$195
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 8.4× 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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33 hospital rates
iThe hospitals that file a Phcs 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 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 2 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 3 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 4 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 6 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Henry Ford Health Township, MI fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Henry Ford Health Detroit, MI fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Henry Ford Health Heights, MI fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Henry Ford Health Warren, MI fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 12 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 13 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 14 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 15 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 16 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 17 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 18 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 19 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 20 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 21 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 22 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 23 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 24 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 25 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
← Payers reporting CPT 87269 · Snapshot 20261112T181611Z-3fa9fb76