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
PR CPTRZ OPH IMG PST SG RTA OCT
Low
$22
Average
$321
Median
$378
High
$565
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 9.5× 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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32 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 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $996 | $996 | — | — | 1–10 | $996 – $996 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $378 | $425 | $151 | 36% | — | $194 – $663 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 2 | $46 | $49 | $23 | 46% | — | $22 – $93 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 3 | $507 | $503 | $154 | 31% | — | $294 – $702 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $364 | $414 | $141 | 34% | — | $193 – $628 |
| 6 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 2 | $398 | $441 | $157 | 35% | — | $297 – $673 |
| 7 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 2 | $46 | $50 | $22 | 45% | — | $23 – $93 |
| 10 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $132 | $187 | $78 | 42% | — | $132 – $297 |
| 11 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 12 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 17 | $354 | $419 | $148 | 35% | — | $207 – $619 |
| 13 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 14 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 15 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $325 | $346 | $90 | 26% | — | $140 – $492 |
| 16 | Lankenau Medical Center Wynnewood, PA facility · fee schedule · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 17 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $463 | $445 | $121 | 27% | — | $289 – $583 |
| 18 | Paoli Hospital Paoli, PA facility · fee schedule · outpatient | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 19 | Penn State Health Milton S. Hershey Medical Center Hershey, PA fee schedule · both | 4 | $229 | $565 | $412 | 73% | — | $195 – $1.2k |
| 20 | Riddle Memorial Hospital Media, PA facility · fee schedule · outpatient | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 21 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $352 | $368 | $88 | 24% | — | $147 – $494 |
| 22 | ST. CLAIR MEMORIAL HOSPITAL PITTSBURGH, PA fee schedule · both | 23 | $471 | $389 | $123 | 32% | — | $187 – $471 |
| 23 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $461 | $461 | $172 | 37% | — | $289 – $633 |
| 24 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $319 | $319 | $49 | 16% | — | $270 – $369 |
| 25 | The Bryn Mawr Hospital Bryn Mawr, PA facility · fee schedule · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
← Payers reporting CPT 92137 · Snapshot 20261112T181611Z-3fa9fb76