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
$10
Average
$9.6k
Median
$47
High
$1577.1k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
165 hospitals; the 90th percentile is 14.9× 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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265 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 | $76 | $76 | — | — | 293–311 | $76 – $76 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 244–271 | $76 – $76 |
| 3 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both | 5 | $39 | $41 | $9 | 22% | 59–68 | $15 – $49 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $39 | $40 | $3 | 6% | 39–66 | $39 – $46 |
| 5 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $39 | $43 | $5 | 11% | 26–44 | $39 – $49 |
| 6 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $118 | $186 | $141 | 75% | 24–69 | $44 – $416 |
| 7 | Preston Memorial Hospital Kingwood, WV other · outpatient | 3 | $0 | $0 | — | — | 20–29 | $0 – $0 |
| 8 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 18 | $30 – $30 |
| 9 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $44 | $47 | $8 | 18% | 17–26 | $39 – $57 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $49 | $49 | — | — | 13 | $49 – $49 |
| 11 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $218 | $218 | — | — | 11 | $218 – $218 |
| 12 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $37 | $6 | 17% | 9–90 | $31 – $46 |
| 13 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $61 | $61 | $9 | 14% | 6–60 | $52 – $70 |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $36 | $36 | — | — | 5–50 | $36 – $36 |
| 15 | Mon Health Medical Center Morgantown, WV other · outpatient | 1 | $38 | $38 | — | — | 3–30 | $38 – $38 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $39 | $40 | $3 | 8% | 3–30 | $33 – $43 |
| 17 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $39 | $39 | $0 | 1% | 3–30 | $39 – $40 |
| 18 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | 3–30 | $32 – $32 |
| 19 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $10 | $10 | — | — | 3–30 | $10 – $10 |
| 20 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $39 | $43 | $5 | 11% | 2–20 | $39 – $49 |
| 21 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | 2–20 | $77 – $77 |
| 22 | STONEWALL JACKSON HOSPITAL Weston, WV other · outpatient | 1 | $46 | $46 | — | — | 2–20 | $46 – $46 |
| 23 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 3 | $39 | $39 | $0 | 1% | 2–20 | $39 – $40 |
| 24 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | 1–10 | $158 – $158 |
| 25 | F.F. Thompson Hospital Canandaigua, NY other · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
← Payers reporting CPT 90715 · Snapshot 20261111T120946Z-9134e7f7