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
Mod Cs Diff Phys<5Yrs 1St 15
Low
$0
Average
$279
Median
$136
High
$19.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
300 hospitals; the 90th percentile is 5.2× 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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535 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 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $390 | $390 | — | — | 93 | $390 – $390 |
| 2 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | 93 | $195 – $195 |
| 3 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $283 | $284 | $24 | 8% | 27–45 | $255 – $314 |
| 4 | Coshocton Regional Medical Center Coshocton, OH percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | 3–30 | $181 – $181 |
| 5 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $450 | $441 | $14 | 3% | 1–10 | $421 – $452 |
| 6 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $229 | $229 | — | — | 1–10 | $229 – $229 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $198 | $193 | $92 | 48% | — | $81 – $284 |
| 9 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 10 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $407 | $302 | $164 | 54% | — | $70 – $428 |
| 11 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $292 | $253 | $79 | 31% | — | $142 – $324 |
| 12 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $113 | $113 | $36 | 32% | — | $76 – $149 |
| 13 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 14 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 15 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 3 | $245 | $251 | $167 | 67% | — | $83 – $428 |
| 16 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 2 | $407 | $305 | $160 | 53% | — | $78 – $428 |
| 17 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $86 | $86 | — | — | — | $86 – $86 |
| 18 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $86 | $86 | — | — | — | $86 – $86 |
| 19 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $86 | $86 | — | — | — | $86 – $86 |
| 20 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $90 | $90 | — | — | — | $90 – $90 |
| 21 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 2 | $535 | $537 | $48 | 9% | — | $476 – $600 |
| 22 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 2 | $207 | $207 | — | — | — | $207 – $207 |
| 23 | Avita Ontario Hospital Ontario, OH per diem · both | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 24 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 6 | $126 | $160 | $91 | 57% | — | $62 – $349 |
| 25 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 2 | $381 | $381 | $278 | 73% | — | $103 – $659 |
← Payers reporting CPT 99155 · Snapshot 20261111T120946Z-9134e7f7