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
PR Omt 3-4 Body Regions
Low
$14
Average
$103
Median
$47
High
$6.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
271 hospitals; the 90th percentile is 6.2× 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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543 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $78 | $81 | $24 | 30% | 36–45 | $50 – $116 |
| 2 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 3 | $49 | $45 | $6 | 13% | 33–69 | $29 – $49 |
| 3 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $102 | $113 | $41 | 36% | 12 | $69 – $168 |
| 4 | Bath Community Hospital Hot Springs, VA other · both | 1 | $127 | $127 | — | — | 2–20 | $127 – $127 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 6 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 2–20 | $24 – $24 |
| 7 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $45 | $6 | 14% | 2–20 | $39 – $52 |
| 8 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 9 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $54 | $7 | 13% | 1–10 | $48 – $61 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $49 | $45 | $7 | 16% | 1–10 | $29 – $49 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 3 | $49 | $45 | $6 | 13% | 1–10 | $29 – $49 |
| 12 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $61 | $47 | $19 | 40% | — | $20 – $61 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $89 | $87 | $44 | 51% | — | $29 – $150 |
| 18 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 19 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $49 | $50 | $14 | 29% | — | $32 – $70 |
| 20 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $64 | $60 | $10 | 16% | — | $46 – $69 |
| 21 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $58 | $53 | $16 | 31% | — | $28 – $69 |
| 22 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 23 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $59 | $58 | $8 | 13% | — | $48 – $67 |
| 24 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $65 | $57 | $24 | 41% | — | $25 – $82 |
| 25 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
← Payers reporting CPT 98926 · Snapshot 20261111T120946Z-9134e7f7