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
HB=MNT RE-ASSESSMENT INDIV EA 15 MIN
Low
$1
Average
$72
Median
$45
High
$7.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1191 hospitals; the 90th percentile is 4.7× 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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1,834 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 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $89 | $86 | $23 | 27% | 1,321 | $62 – $125 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $83 | $83 | $3 | 3% | 1,008–1,062 | $81 – $89 |
| 3 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $69 | $78 | $12 | 15% | 555 | $57 – $91 |
| 4 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $166 | $146 | $28 | 19% | 516–525 | $107 – $166 |
| 5 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | $3 | 7% | 385 | $32 – $40 |
| 6 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 5 | $46 | $46 | $14 | 31% | 221–266 | $27 – $71 |
| 7 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $58 | $58 | $3 | 4% | 180–189 | $55 – $63 |
| 8 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | $70 | 67% | 151–160 | $35 – $174 |
| 9 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $65 | $57 | $16 | 28% | 150 | $22 – $67 |
| 10 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 3 | $48 | $48 | $20 | 42% | 150–159 | $28 – $68 |
| 11 | Southeastern Regional Medical Center, Inc. Newnan, GA percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $4 | 15% | 145 | $23 – $31 |
| 12 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 3 | $26 | $54 | $47 | 87% | 126 | $26 – $155 |
| 13 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | $3 | 7% | 117–162 | $32 – $40 |
| 14 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | 117 | $72 – $72 |
| 15 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $55 | $56 | $13 | 23% | 105–159 | $36 – $77 |
| 16 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $90 | $100 | $45 | 45% | 95 | $31 – $170 |
| 17 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | $52 | 73% | 95 | $19 – $123 |
| 18 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $65 | $1 | 2% | 95 | $63 – $67 |
| 19 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | $0 | 0% | 93 | $72 – $73 |
| 20 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $120 | $124 | $9 | 7% | 74 | $116 – $137 |
| 21 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 72–81 | $43 – $43 |
| 22 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $163 | $136 | $39 | 28% | 70–79 | $82 – $163 |
| 23 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $58 | $58 | $3 | 4% | 67–76 | $55 – $63 |
| 24 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 10 | $104 | $111 | $13 | 12% | 64 | $102 – $147 |
| 25 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 5 | $142 | $127 | $90 | 71% | 63–72 | $25 – $250 |
← Payers reporting CPT 97803 · Snapshot 20261111T120946Z-9134e7f7