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
SPECIAL REPORTS OR FORMS
Low
$0
Average
$380
Median
$49
High
$26.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
102 hospitals; the 90th percentile is 42.6× 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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150 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $35 | $26 | $10 | 39% | — | $14 – $35 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 3 | $87 | $87 | — | — | — | $87 – $87 |
| 6 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 7 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $8 | $1 | 16% | — | $6 – $8 |
| 8 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · percent of total billed charges · inpatientfrom % of charges | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 10 | Blue Hill Memorial Hospital Hill, ME professional · percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $39 | $6 | 16% | — | $30 – $43 |
| 11 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $9 | $10 | $1 | 15% | — | $9 – $12 |
| 12 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 13 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $407 | $407 | — | — | — | $407 – $407 |
| 17 | Carmel AmbSurg Carmel, IN fee schedule · both | 3 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Charles A. Dean Memorial Hospital Greenville, ME professional · percent of total billed charges · inpatientfrom % of charges | 2 | $91 | $91 | — | — | — | $91 – $91 |
| 21 | Charles A. Dean Memorial Hospital Greenville, ME professional · percent of total billed charges · outpatientfrom % of charges | 3 | $91 | $91 | $1 | 1% | — | $90 – $91 |
| 22 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · inpatientfrom % of charges | 2 | $96 | $96 | — | — | — | $96 – $96 |
| 23 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 24 | Children's National Hospital Washington, DC professional · fee schedule · both | 4 | $12 | $16 | $8 | 52% | — | $10 – $31 |
| 25 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
← Payers reporting CPT 99080 · Snapshot 20261113T090226Z-3ce6c0b8