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
$34
Average
$105
Median
$57
High
$691
Each hospital's average Premera rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 5.0× 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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108 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $302 | $302 | — | — | 74 | $302 – $302 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $302 | $302 | — | — | 74 | $302 – $302 |
| 3 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $691 | $691 | — | — | 56 | $691 – $691 |
| 4 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | 28–37 | $43 – $43 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $39 | $39 | — | — | 14–23 | $39 – $39 |
| 6 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $137 | $134 | $23 | 17% | 3–30 | $109 – $167 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 9 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 1 | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 10 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $80 | $78 | $3 | 4% | 1–10 | $72 – $80 |
| 11 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 14 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 15 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 16 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 17 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 18 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 19 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 20 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 21 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 22 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 23 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 24 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 25 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
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