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
$35
Average
$187
Median
$113
High
$792
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
305 hospitals; the 90th percentile is 6.2× 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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422 hospital rates
iThe hospitals that file a Kaiser 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 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $333 | $332 | $13 | 4% | 57–570 | $318 – $345 |
| 2 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $198 | $198 | $74 | 37% | 40–49 | $124 – $272 |
| 3 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $250 | $106 | 42% | 4–40 | $167 – $426 |
| 4 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $250 | $106 | 42% | 4–40 | $167 – $426 |
| 5 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $555 | $731 | $362 | 49% | 3–30 | $403 – $1.2k |
| 6 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $555 | $731 | $362 | 49% | 3–30 | $403 – $1.2k |
| 7 | St. Joseph Medical Center Bellingham, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $446 | $446 | — | — | 2–20 | $446 – $446 |
| 8 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $218 | $218 | $148 | 68% | 1–10 | $70 – $366 |
| 9 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $147 | $147 | $91 | 62% | — | $55 – $238 |
| 10 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 11 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 2 | $95 | $95 | $25 | 26% | — | $70 – $121 |
| 12 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $47 | $47 | $8 | 18% | — | $39 – $56 |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $39 | $32 | 81% | — | $7 – $86 |
| 14 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $267 | $287 | $98 | 34% | — | $134 – $438 |
| 15 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $138 | $225 | $153 | 68% | — | $97 – $440 |
| 16 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $121 | $82 | 68% | — | $52 – $236 |
| 17 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $791 | $791 | — | — | — | $791 – $791 |
| 18 | Banner Baywood Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 19 | Banner Boswell Medical Center Sun City, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 20 | Banner Casa Grande Medical Center Casa Grande, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 21 | Banner Del E Webb Medical Center Sun City West, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 22 | Banner Desert Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 23 | Banner Estrella Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 24 | Banner Gateway Medical Center Gilbert, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 25 | Banner Goldfield Medical Center Apache Junction, AZ facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
← Payers reporting CPT 87801 · Snapshot 20261111T120946Z-9134e7f7