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 ICE CUBE TEST
Low
$23
Average
$111
Median
$70
High
$617
Each hospital's average First Health rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 4.9× 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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26 hospital rates
iThe hospitals that file a First Health 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 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 8 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 10 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 11 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $145 | $145 | $2 | 1% | — | $143 – $146 |
| 12 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 13 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 14 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 15 | Mayo Clinic Health System Bloomer, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 17 | Mayo Clinic Health System Barron, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 18 | Orlando Health Melbourne Hospital Melbourne, FL fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 19 | Penn State Health Hampden Medical Center Enola, PA percent of total billed charges · bothfrom % of charges | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 20 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 21 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $617 | $617 | $484 | 78% | — | $133 – $1.1k |
| 22 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $617 | $617 | $484 | 78% | — | $133 – $1.1k |
| 23 | University Health Truman Medical Center Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 24 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 25 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
← Payers reporting CPT 95199 · Snapshot 20261113T090226Z-3ce6c0b8