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
$0
Average
$141
Median
$78
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1194 hospitals; the 90th percentile is 5.1× 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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1,735 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 Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $59 | $59 | $2 | 3% | 1,493–1,520 | $57 – $63 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $63 | $4 | 6% | 1,280 | $59 – $67 |
| 3 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $58 | $62 | $8 | 13% | 1,202 | $55 – $74 |
| 4 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $58 | $58 | $3 | 4% | 802–820 | $55 – $63 |
| 5 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $49 | $51 | $4 | 8% | 546–555 | $49 – $59 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 5 | $43 | $40 | $3 | 8% | 543–705 | $33 – $43 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | $0 | 0% | 536–563 | $71 – $71 |
| 8 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $58 | $58 | $3 | 4% | 526–544 | $55 – $63 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $49 | $45 | $5 | 10% | 499–562 | $39 – $49 |
| 10 | Fauquier Health Warrenton, VA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $117 | $117 | — | — | 444 | $117 – $117 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $39 | $40 | $2 | 6% | 407–524 | $39 – $46 |
| 12 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $207 | $242 | 117% | 368–377 | $16 – $549 |
| 13 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 322–439 | $76 – $76 |
| 14 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 308–434 | $76 – $76 |
| 15 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $63 | $55 | $16 | 28% | 282–300 | $21 – $65 |
| 16 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $57 | $51 | $8 | 16% | 270–369 | $39 – $57 |
| 17 | Wythe County Community Hospital Wytheville, VA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $123 | $123 | $7 | 5% | 264 | $117 – $130 |
| 18 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $63 | $56 | $14 | 26% | 238–247 | $24 – $65 |
| 19 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $123 | $123 | $7 | 5% | 228 | $117 – $130 |
| 20 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 4 | $50 | $53 | $11 | 20% | 210–228 | $42 – $65 |
| 21 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $88 | $88 | $30 | 34% | 172 | $58 – $119 |
| 22 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $88 | $88 | $30 | 34% | 172 | $58 – $119 |
| 23 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $63 | $55 | $15 | 28% | 169–178 | $21 – $65 |
| 24 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $175 | $175 | $35 | 20% | 167–185 | $140 – $210 |
| 25 | MERCY MEDICAL CENTER Williston, ND fee schedule · outpatient | 3 | $56 | $58 | $14 | 24% | 165 | $42 – $77 |
← Payers reporting CPT 90715 · Snapshot 20261111T120946Z-9134e7f7