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 EMG NDL NON-EXT W NRV CONDCT
Low
$68
Average
$187
Median
$133
High
$477
Each hospital's average Premera rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 4.5× 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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17 hospital rates
iThe hospitals that file a Premera 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 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $137 | $133 | $5 | 4% | — | $124 – $137 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 3 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $48 | $48 | $17 | 36% | — | $31 – $65 |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $385 | $385 | — | — | — | $385 – $385 |
| 7 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 8 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 9 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 10 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | $28 | 26% | — | $78 – $134 |
| 11 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $89 | $101 | $24 | 24% | — | $78 – $134 |
| 12 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 13 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $94 | $94 | $33 | 36% | — | $61 – $128 |
| 14 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $94 | $94 | $33 | 36% | — | $61 – $128 |
| 15 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $310 | $303 | $51 | 17% | — | $246 – $379 |
| 16 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 17 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $141 | $141 | $44 | 32% | — | $96 – $185 |
← Payers reporting CPT 95887 · Snapshot 20261111T120946Z-9134e7f7