The hospitals that file a Excellus 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.
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120 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alice Hyde Medical Center Malone, NY facility · fee schedule · outpatient | 2 | $208.58 | $55.97 – $361.18 |
| 2 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $164.34 | $164.34 – $164.34 |
| 3 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $125.88 | $96.03 – $170.30 |
| 4 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 2 | $351.82 | $104.69 – $598.95 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $106.81 | $106.81 – $106.81 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $87.11 | $18.98 – $218.20 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $87.11 | $18.98 – $218.20 |
| 8 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $106.81 | $106.81 – $106.81 |
| 9 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $268.92 | $66.90 – $617.02 |
| 10 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $73.71 | $17.04 – $170.30 |
| 11 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $78.17 | $78.17 – $78.17 |
| 12 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $106.81 | $106.81 – $106.81 |
| 13 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $178.20 | $113.97 – $234.37 |
| 14 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $376.03 | $376.03 – $376.03 |
| 15 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $521.77 | $388.36 – $768.14 |
| 16 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 3 | $125.13 | $96.03 – $170.30 |
| 17 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 7 | $112.99 | $17.04 – $360.36 |
| 18 | Highland Hospital Rochester, NY fee schedule · outpatient | 7 | $127.42 | $93.93 – $184.10 |
| 19 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $656.32 | $656.32 – $656.32 |
| 20 | Holy Cross Germantown Hospital Germantown, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $46.00 | $46.00 – $46.00 |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $788.00 | $788.00 – $788.00 |
| 22 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $788.00 | $788.00 – $788.00 |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 3 | $113.21 | $90.38 – $132.74 |
| 24 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 3 | $18.91 | $15.83 – $20.82 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 3 | $175.72 | $141.19 – $201.22 |
← Payers reporting CPT 93971 · Snapshot 20261108T203506Z-bb90dbab