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
$7
Average
$3.9k
Median
$108
High
$2420.5k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
645 hospitals; the 90th percentile is 5.8× 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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946 hospital rates
iThe hospitals that file a First Health 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 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | $9 | 10% | 2,648–2,657 | $78 – $96 |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $156 | $53 | 34% | 8–80 | $106 – $231 |
| 3 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 1 | $91 | $94 | $5 | 5% | 6–60 | $90 – $103 |
| 4 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $94 | $5 | 5% | 6–60 | $90 – $103 |
| 5 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 1 | $91 | $94 | $5 | 5% | 6–60 | $90 – $103 |
| 6 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $94 | $5 | 5% | 6–60 | $90 – $103 |
| 7 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $73 | $12 | 16% | 6–60 | $65 – $90 |
| 8 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · inpatientfrom % of charges | 1 | $91 | $94 | $5 | 5% | 6–60 | $90 – $103 |
| 9 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $94 | $5 | 5% | 6–60 | $90 – $103 |
| 10 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $73 | $12 | 16% | 6–60 | $65 – $90 |
| 11 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $75 | $13 | 17% | 5–50 | $65 – $90 |
| 12 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $75 | $13 | 17% | 5–50 | $65 – $90 |
| 13 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 2 | $38 | $82 | $86 | 104% | 2–20 | $24 – $230 |
| 14 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $90 | $100 | $77 | 77% | 2–20 | $31 – $259 |
| 15 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 2 | $28 | $28 | $2 | 6% | 2–20 | $27 – $30 |
| 16 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 2–20 | $54 – $54 |
| 17 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 20 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 21 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $277 | $277 | — | — | 1–10 | $277 – $277 |
| 22 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 1 | $337 | $337 | — | — | 1–10 | $337 – $337 |
| 23 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · bothfrom % of charges | 5 | $159 | $159 | — | — | 1–10 | $159 – $159 |
| 24 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 1–10 | $54 – $54 |
| 25 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $96 | $5 | 6% | 1–10 | $91 – $102 |
← Payers reporting CPT 87389 · Snapshot 20261111T120946Z-9134e7f7