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
$4
Average
$28
Median
$13
High
$763
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
81 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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130 hospital rates
iThe hospitals that file a Highmark 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 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 79–106 | $26 – $26 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 60–78 | $26 – $26 |
| 3 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $36 | $4 | 12% | 5–50 | $29 – $42 |
| 4 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $7 | $9 | $3 | 29% | 2–20 | $7 – $13 |
| 5 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $8 | $10 | $3 | 30% | 2–20 | $8 – $15 |
| 6 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $8 | $11 | $3 | 29% | 1–10 | $8 – $15 |
| 8 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 10 | $13 | $16 | $7 | 42% | — | $8 – $25 |
| 10 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 11 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 12 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 13 | Broaddus Hospital Association Inc Philippi, WV facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 3 | $7 | $8 | $2 | 23% | — | $6 – $11 |
| 15 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 16 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 17 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $16 | $16 | $2 | 10% | — | $14 – $17 |
| 18 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 19 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | Charleston Area Medical Center Charleston, WV fee schedule · both | 4 | $19 | $16 | $4 | 27% | — | $9 – $19 |
| 22 | City Hospital, Inc. Martinsburg, WV facility · fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $9 | $9 | $0 | 0% | — | $9 – $9 |
| 24 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $9 | $9 | $1 | 13% | — | $8 – $11 |
← Payers reporting CPT 90461 · Snapshot 20261111T120946Z-9134e7f7