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
ANES PT EXTEME AGE<1 YR&>70
Low
$46
Average
$131
Median
$136
High
$263
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 5.1× 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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17 hospital rates
iThe hospitals that file a Kaiser 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 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Children's National Hospital Washington, DC professional · percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 5 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 6 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 7 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 8 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $263 | $263 | $24 | 9% | — | $239 – $287 |
| 9 | Page Hospital Page, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 10 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · percent of total billed charges · inpatientfrom % of charges | 2 | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $119 | $119 | — | — | — | $119 – $119 |
| 12 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | UCHealth Estes Valley Medical Center Estes Park, CO percent of total billed charges · bothfrom % of charges | 2 | $143 | $143 | $42 | 29% | — | $101 – $185 |
| 14 | UCHealth Estes Valley Medical Center Estes Park, CO percent of total billed charges · inpatientfrom % of charges | 2 | $143 | $143 | $42 | 29% | — | $101 – $185 |
| 15 | UCHealth Estes Valley Medical Center Estes Park, CO percent of total billed charges · outpatientfrom % of charges | 2 | $143 | $143 | $42 | 29% | — | $101 – $185 |
| 16 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 17 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
← Payers reporting CPT 99100 · Snapshot 20261112T181611Z-3fa9fb76