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
$39
Average
$86
Median
$62
High
$514
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 3.9× 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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125 hospital rates
iThe hospitals that file a Carefirst 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 professional · percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | — | — | 32–41 | $75 – $75 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 3–30 | $76 – $76 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $39 | $41 | $3 | 8% | 2–20 | $39 – $46 |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $233 | $220 | $32 | 15% | 2–20 | $168 – $251 |
| 5 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $53 | $51 | $7 | 13% | 2–20 | $39 – $57 |
| 6 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $39 | $39 | $0 | 1% | 2–20 | $39 – $40 |
| 7 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 2–20 | $76 – $76 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $49 | $46 | $4 | 9% | 1–10 | $39 – $49 |
| 9 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 3 | $39 | $41 | $3 | 8% | 1–10 | $39 – $46 |
| 10 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 11 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both | 3 | $44 | $36 | $15 | 43% | 1–10 | $15 – $49 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
| 14 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
| 17 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
| 18 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 19 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 20 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
| 22 | DOMINION HOSPITAL FALLS CHURCH, VA percent of total billed charges · outpatientfrom % of charges | 2 | $166 | $166 | $5 | 3% | — | $161 – $172 |
| 23 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $118 | $120 | $4 | 3% | — | $117 – $127 |
| 24 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $232 | $196 | $62 | 31% | — | $105 – $249 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
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