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
$28
Average
$71
Median
$48
High
$444
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
61 hospitals; the 90th percentile is 3.1× 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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126 hospital rates
iThe hospitals that file a Excellus 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 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $51 | $48 | $5 | 10% | 646–673 | $40 – $51 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 40 | $76 – $76 |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 39 | $76 – $76 |
| 4 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $98 | $98 | — | — | 3–30 | $98 – $98 |
| 5 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $98 | $98 | — | — | 3–30 | $98 – $98 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $39 | $41 | $3 | 8% | 1–10 | $39 – $46 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $49 | $48 | $8 | 16% | 1–10 | $39 – $57 |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $39 | $39 | $0 | 1% | 1–10 | $39 – $40 |
| 9 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both | 3 | $39 | $34 | $14 | 42% | 1–10 | $15 – $49 |
| 10 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 3 | $40 | $39 | $0 | 1% | 1–10 | $39 – $40 |
| 11 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $53 | $78 | $40 | 52% | — | $45 – $135 |
| 12 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $53 | $48 | $6 | 13% | — | $40 – $53 |
| 13 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
| 16 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
| 19 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
| 20 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $75 | $75 | $43 | 57% | — | $32 – $117 |
| 21 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $51 | $47 | $5 | 11% | — | $40 – $51 |
| 22 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 23 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 24 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $39 | $41 | $3 | 8% | — | $39 – $46 |
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