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
$18
Average
$176
Median
$127
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1312 hospitals; the 90th percentile is 4.9× 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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1,914 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $316 | $376 | $157 | 42% | 761–977 | $131 – $732 |
| 2 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $392 | $392 | $78 | 20% | 645–699 | $314 – $470 |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 10 | $93 | $215 | $289 | 134% | 320–860 | $24 – $2.4k |
| 4 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $35 | $36 | $13 | 36% | 260–296 | $13 – $52 |
| 5 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $35 | $36 | $13 | 36% | 258–294 | $13 – $52 |
| 6 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $35 | $36 | $13 | 36% | 257–293 | $13 – $52 |
| 7 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $35 | $36 | $13 | 36% | 253–289 | $13 – $52 |
| 8 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $35 | $36 | $13 | 36% | 252–288 | $13 – $52 |
| 9 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 12 | $312 | $273 | $101 | 37% | 210–462 | $57 – $426 |
| 10 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $384 | $384 | — | — | 140 | $384 – $384 |
| 11 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 7 | $316 | $376 | $157 | 42% | 131 | $131 – $732 |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 6 | $185 | $193 | $131 | 68% | 120 | $70 – $453 |
| 13 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 6 | $185 | $193 | $131 | 68% | 120 | $70 – $453 |
| 14 | ST. MARY'S COMMUNITY HOSPITAL Nebraska City, NE fee schedule · outpatient | 3 | $217 | $184 | $83 | 45% | 92–110 | $70 – $272 |
| 15 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 8 | $301 | $327 | $160 | 49% | 83–299 | $131 – $732 |
| 16 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 9 | $312 | $348 | $156 | 45% | 79–223 | $131 – $732 |
| 17 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $351 | $395 | $321 | 81% | 68–680 | $101 – $2.4k |
| 18 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $186 | $205 | $93 | 45% | 60–78 | $106 – $314 |
| 19 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $342 | $401 | $188 | 47% | 51–240 | $73 – $742 |
| 20 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $11 | 14% | 48 | $66 – $87 |
| 21 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $11 | 14% | 48 | $66 – $87 |
| 22 | ST VINCENT INFIRMARY MEDICAL CENTER Little Rock, AR fee schedule · outpatient | 4 | $76 | $76 | $4 | 6% | 47 | $70 – $80 |
| 23 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $207 | $181 | $82 | 45% | 43 | $70 – $272 |
| 24 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 12 | $315 | $356 | $154 | 43% | 43–187 | $131 – $740 |
| 25 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $211 | $233 | $111 | 48% | 42 | $94 – $470 |
← Payers reporting CPT 87801 · Snapshot 20261111T120946Z-9134e7f7