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
Medical Service
Low
$30
Average
$301
Median
$217
High
$8.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
832 hospitals; the 90th percentile is 3.6× 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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1,340 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $389 | $389 | — | — | 1,815 | $389 – $389 |
| 2 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 5 | $200 | $176 | $33 | 19% | 1,039 | $103 – $200 |
| 3 | City Hospital, Inc. Martinsburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 2 | $122 | $122 | — | — | 745–763 | $122 – $122 |
| 4 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $323 | $381 | $100 | 26% | 463 | $249 – $497 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $299 | $300 | $11 | 4% | 439–448 | $282 – $322 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV professional · percent of total billed charges · outpatientfrom % of charges | 2 | $500 | $547 | $112 | 21% | 413–449 | $500 – $843 |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $152 | $20 | 13% | 398 | $138 – $181 |
| 8 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $387 | $387 | — | — | 367 | $387 – $387 |
| 9 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $393 | $347 | $98 | 28% | 345–354 | $132 – $406 |
| 10 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $160 | $159 | $3 | 2% | 310–400 | $150 – $160 |
| 11 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $468 | $472 | $21 | 4% | 254–263 | $446 – $509 |
| 12 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 1 | $112 | $112 | $51 | 46% | 197–206 | $61 – $164 |
| 13 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 3 | $93 | $93 | — | — | 174 | $93 – $93 |
| 14 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $426 | $445 | $35 | 8% | 172–181 | $426 – $511 |
| 15 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $248 | $248 | $46 | 19% | 162 | $202 – $295 |
| 16 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 5 | $98 | $112 | $29 | 26% | 157 | $98 – $169 |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $151 | $131 | $23 | 18% | 154–217 | $99 – $151 |
| 18 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · outpatient | 2 | $632 | $632 | — | — | 146–155 | $632 – $632 |
| 19 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $393 | $350 | $90 | 26% | 146 | $152 – $406 |
| 20 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $69 | $65 | $11 | 17% | 144 | $47 – $77 |
| 21 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $65 | $62 | $11 | 17% | 144 | $45 – $73 |
| 22 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $416 | — | — | 135 | $416 – $416 |
| 23 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $416 | — | — | 135 | $416 – $416 |
| 24 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 3 | $108 | $120 | $26 | 22% | 113–122 | $94 – $176 |
| 25 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · both | 5 | $170 | $147 | $26 | 18% | 109–163 | $111 – $170 |
← Payers reporting CPT 90837 · Snapshot 20261111T120946Z-9134e7f7