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
Adapt Bhv Tx Prtcl Modificaj Phys/Qhp Ea 15 Min
Low
$1
Average
$155
Median
$97
High
$835
Each hospital's average First Health rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 495.4× 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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32 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 2 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Children's Specialized Hospital Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $126 | $126 | $18 | 14% | — | $108 – $144 |
| 6 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | $18 | 14% | — | $108 – $144 |
| 7 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 14 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 15 | Kaweah Health Medical Center Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 16 | Kaweah Health Mental Health Hospital Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 17 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 18 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 19 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Penn State Health Holy Spirit Medical Center Camp Hill, PA percent of total billed charges · bothfrom % of charges | 1 | $835 | $835 | — | — | — | $835 – $835 |
| 21 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $835 | $835 | — | — | — | $835 – $835 |
| 22 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 23 | UCHMHS Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 24 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 25 | UCHMHS Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
← Payers reporting CPT 97155 · Snapshot 20261112T181611Z-3fa9fb76