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
St Ther Cog Funcd Ea Adl 15Min
Low
$0
Average
$125
Median
$51
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1205 hospitals; the 90th percentile is 7.2× 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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1,896 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 3 | $70 | $70 | — | — | 360 | $70 – $70 |
| 2 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $109 | $124 | $37 | 30% | 341–359 | $93 – $184 |
| 3 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $70 | $70 | — | — | 120 | $70 – $70 |
| 4 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $64 | $67 | $6 | 8% | 73 | $64 – $77 |
| 5 | Carteret County General Hospital Corporation Morehead City, NC facility · fee schedule · both | 1 | $20 | $20 | — | — | 70 | $20 – $20 |
| 6 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $42 | $42 | — | — | 15–150 | $42 – $42 |
| 7 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $5 | $7 | $2 | 34% | 11 | $5 – $11 |
| 8 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $5 | $7 | $2 | 34% | 11 | $5 – $11 |
| 9 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $42 | $42 | — | — | 5–50 | $42 – $42 |
| 10 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | $2 | 2% | 2–20 | $84 – $87 |
| 11 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 6 | $97 | $99 | $4 | 4% | 2–20 | $93 – $106 |
| 12 | Piedmont Columbus Regional - Midtown Columbus, GA per diem · both | 2 | $165 | $165 | — | — | 2–20 | $165 – $165 |
| 13 | ROBERT PACKER HOSPITAL Sayre, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $23 | — | — | 2–20 | $23 – $23 |
| 14 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 15 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 16 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 17 | Northfield Hospital Northfield, MN other · both | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 18 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 19 | Northwestern Medicine Valley West Hospital Sandwich, IL percent of total billed charges · outpatientfrom % of charges | 8 | $120 | $109 | $45 | 41% | 1–10 | $13 – $159 |
| 20 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 21 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 22 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 5 | $400 | $411 | $81 | 20% | — | $326 – $543 |
| 23 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $8 | $1 | 11% | — | $7 – $9 |
| 24 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 25 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 97130 · Snapshot 20261111T120946Z-9134e7f7