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
professional
Low
$0
Average
$134
Median
$54
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
638 hospitals; the 90th percentile is 4.8× 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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849 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 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $29 | $29 | $8 | 26% | 163–181 | $22 – $37 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 11 | $42 | $44 | $2 | 5% | 26–44 | $41 – $47 |
| 3 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $39 | $39 | — | — | 12 | $39 – $39 |
| 4 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $42 | $43 | $2 | 5% | 11 | $40 – $47 |
| 5 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 2 | $20 | $20 | $16 | 80% | 2–20 | $4 – $37 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $35 | $37 | $3 | 8% | 2–20 | $35 – $42 |
| 7 | NYU Langone Mineola, NY percent of total billed charges · outpatientfrom % of charges | 50 | $148 | $146 | $7 | 5% | 2–20 | $119 – $148 |
| 8 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $0 | 0% | 1–10 | $28 – $28 |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 10 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $67 | $67 | $23 | 34% | 1–10 | $45 – $90 |
| 11 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $67 | $67 | $23 | 34% | 1–10 | $45 – $90 |
| 12 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $42 | $43 | $2 | 5% | 1–10 | $40 – $47 |
| 13 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 7 | $42 | $41 | $6 | 15% | 1–10 | $25 – $47 |
| 14 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $46 | $40 | $12 | 31% | 1–10 | $15 – $48 |
| 15 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 6 | $38 | $40 | $5 | 13% | 1–10 | $35 – $47 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 4 | $45 | $45 | $1 | 3% | 1–10 | $44 – $47 |
| 18 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 7 | $42 | $41 | $8 | 19% | 1–10 | $21 – $47 |
| 19 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $29 | $29 | $8 | 26% | 1–10 | $22 – $37 |
| 20 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $11 | 54% | 1–10 | $9 – $32 |
| 21 | The Carle Foundation Hospital Urbana, IL other · outpatient | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 22 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | — | — | 1–10 | $29 – $29 |
| 23 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 3 | $118 | $121 | $15 | 12% | — | $106 – $141 |
| 24 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $15 | $20 | $17 | 86% | — | $5 – $53 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $22 | $22 | $6 | 28% | — | $15 – $29 |
← Payers reporting CPT 90647 · Snapshot 20261111T120946Z-9134e7f7