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
Sq CRM Device Interrogate Eval
Low
$10
Average
$236
Median
$64
High
$13.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
865 hospitals; the 90th percentile is 6.6× 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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1,304 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $158 | $158 | $44 | 28% | 51–69 | $111 – $214 |
| 2 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $34 | $34 | $10 | 30% | 47–74 | $23 – $57 |
| 3 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $34 | $34 | $10 | 30% | 47–74 | $23 – $57 |
| 4 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 17 | $35 | $43 | $17 | 41% | 6–60 | $15 – $69 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 5 | $29 | $41 | $24 | 58% | 3–30 | $11 – $77 |
| 6 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $28 | $28 | — | — | 3–30 | $28 – $28 |
| 7 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $28 | $28 | — | — | 3–30 | $28 – $28 |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 3 | $35 | $40 | $16 | 41% | 3–30 | $15 – $60 |
| 9 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $49 | $36 | $17 | 46% | 2–20 | $17 – $56 |
| 10 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $113 | $118 | $33 | 28% | 2–20 | $78 – $158 |
| 11 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 12 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $25 | $8 | 32% | 1–10 | $17 – $32 |
| 13 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $457 | $457 | — | — | 1–10 | $457 – $457 |
| 14 | Mayo Clinic Rochester, MN facility · fee schedule · both | 1 | $32 | $32 | — | — | 1–10 | $32 – $32 |
| 15 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $149 | $132 | $44 | 33% | 1–10 | $35 – $161 |
| 16 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $194 | $207 | $26 | 13% | 1–10 | $194 – $259 |
| 17 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $75 | $96 | $35 | 37% | 1–10 | $57 – $158 |
| 18 | Mercy Health Saint Marys Rockford, MI facility · other · both | 2 | $22 | $22 | $6 | 27% | 1–10 | $16 – $28 |
| 19 | Newton Wellesley Hospital Newton, MA other · both | 1 | $29 | $29 | — | — | 1–10 | $29 – $29 |
| 20 | PIEDMONT MCDUFFIE HOSPITAL Thomson, GA percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 21 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 2 | $148 | $148 | $45 | 30% | 1–10 | $103 – $192 |
| 22 | Regions Hospital St. Paul, MN facility · other · both | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 2 | $22 | $22 | $6 | 27% | 1–10 | $16 – $28 |
| 24 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · other · both | 2 | $22 | $22 | $6 | 27% | 1–10 | $16 – $28 |
| 25 | The University of Kansas Health System- St. Francis Campus Topeka, KS facility · percent of total billed charges · outpatientfrom % of charges | 4 | $113 | $113 | $39 | 35% | 1–10 | $73 – $152 |
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