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 ALYS BRN NPGT PRGRMG ADDL 15
Low
$25
Average
$1.7k
Median
$333
High
$33.5k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 11.2× 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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46 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $39 | $39 | $9 | 23% | — | $30 – $48 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 6 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $362 | $362 | — | — | — | $362 – $362 |
| 9 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $367 | $369 | $4 | 1% | — | $367 – $374 |
| 10 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $219 | $228 | $26 | 11% | — | $201 – $263 |
| 11 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $360 | $360 | $1 | 0% | — | $359 – $361 |
| 12 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 17 | Seattle Children's Hospital Seattle, WA professional · percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 18 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | The Toledo Hospital Maumee, OH professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 21 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $465 | $465 | $134 | 29% | — | $331 – $599 |
| 22 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $360 | $381 | $124 | 32% | — | $223 – $599 |
| 23 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 24 | University Hospitals Health System Ravenna, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $469 | $469 | $131 | 28% | — | $338 – $599 |
| 25 | University Hospitals Health System Ravenna, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $419 | $411 | $129 | 31% | — | $202 – $599 |
← Payers reporting CPT 95984 · Snapshot 20261112T124536Z-e251e855