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
Im Adm Thru 18yr Any Rte Addl Vac/Tox Compt
Low
$1
Average
$122
Median
$18
High
$26.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
291 hospitals; the 90th percentile is 6.5× 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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495 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $36 | $37 | $11 | 30% | 304 | $23 – $53 |
| 2 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 6 | $15 | $12 | $3 | 28% | 249–285 | $8 – $15 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 170–224 | $26 – $26 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 109–172 | $26 – $26 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $15 | $12 | $3 | 26% | 84–129 | $8 – $15 |
| 6 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $13 | $10 | $3 | 26% | 14–41 | $7 – $13 |
| 7 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $15 | $12 | $3 | 24% | 2–20 | $9 – $15 |
| 8 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $17 | $17 | $2 | 9% | — | $15 – $19 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $24 | $23 | $11 | 49% | — | $9 – $34 |
| 14 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $14 | $14 | $6 | 41% | — | $8 – $19 |
| 16 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 3 | $127 | $114 | $29 | 26% | — | $73 – $141 |
| 22 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 23 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 24 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 3 | $141 | $116 | $35 | 30% | — | $67 – $141 |
| 25 | Aspirus Medford Hospital Medford, WI fee schedule · both | 2 | $100 | $100 | $27 | 27% | — | $73 – $127 |
← Payers reporting CPT 90461 · Snapshot 20261111T120946Z-9134e7f7