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
HC DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD
Low
$178
Average
$474
Median
$566
High
$788
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 3.3× 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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17 hospital rates
iThe hospitals that file a Carefirst 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 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $788 | $788 | — | — | — | $788 – $788 |
| 2 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $566 | $566 | $14 | 3% | — | $552 – $581 |
| 3 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $566 | $566 | $14 | 3% | — | $552 – $581 |
| 4 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $566 | $566 | $14 | 3% | — | $552 – $581 |
| 5 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $566 | $566 | $14 | 3% | — | $552 – $581 |
| 6 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $566 | $566 | $14 | 3% | — | $552 – $581 |
| 7 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $557 | $557 | — | — | — | $557 – $557 |
| 8 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $742 | $742 | — | — | — | $742 – $742 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 10 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $570 | $570 | — | — | — | $570 – $570 |
| 11 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $570 | $570 | — | — | — | $570 – $570 |
| 12 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $436 | $436 | — | — | — | $436 – $436 |
| 13 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 14 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 15 | The Mercy Hospital Inc Springfield, MA facility · fee schedule · both | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 16 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $355 | $355 | $39 | 11% | — | $316 – $395 |
| 17 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 2 | $355 | $355 | $39 | 11% | — | $316 – $395 |
← Payers reporting CPT 93981 · Snapshot 20261112T181611Z-3fa9fb76