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
$100
Average
$1.0k
Median
$336
High
$19.7k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 3.1× 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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30 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 3 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 4 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 5 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 6 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 7 | 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 |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 9 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 10 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 11 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 12 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 2 | $311 | $346 | $246 | 71% | — | $91 – $668 |
| 13 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 1 | $373 | $373 | — | — | — | $373 – $373 |
| 14 | Summa Health System Wadsworth, OH fee schedule · outpatient | 3 | $340 | $379 | $187 | 49% | — | $154 – $746 |
| 15 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · fee schedule · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 16 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 17 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 18 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 19 | University Hospitals Health System Beachwood, OH facility · case rate · outpatient | 3 | $425 | $425 | — | — | — | $425 – $425 |
| 20 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 2 | $203 | $203 | $35 | 17% | — | $168 – $238 |
| 21 | University Hospitals Health System Concord Township, OH facility · case rate · outpatient | 4 | $432 | $423 | $19 | 4% | — | $390 – $438 |
| 22 | University Hospitals Health System Concord Township, OH facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 23 | University Hospitals Health System Cleveland, OH facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 24 | University Hospitals Health System Parma, OH facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 25 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
← Payers reporting CPT 97155 · Snapshot 20261112T181611Z-3fa9fb76