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 Phy Init 15M, 5Yr+
Low
$0
Average
$349
Median
$224
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
753 hospitals; the 90th percentile is 7.5× 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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1,117 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $173 | $165 | $28 | 17% | 124 | $120 – $193 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $164 | $156 | $27 | 17% | 124 | $113 – $183 |
| 3 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $409 | $409 | $4 | 1% | 76 | $405 – $413 |
| 4 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $704 | $925 | $312 | 34% | 29–47 | $704 – $1.4k |
| 5 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $704 | $925 | $312 | 34% | 29–47 | $704 – $1.4k |
| 6 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $156 | $156 | — | — | 18–180 | $156 – $156 |
| 7 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $511 | $533 | $99 | 19% | 14 | $438 – $670 |
| 8 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 3 | $956 | $956 | — | — | 9–90 | $956 – $956 |
| 9 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $156 | $156 | — | — | 6–60 | $156 – $156 |
| 10 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $103 | $103 | $5 | 5% | 4–40 | $98 – $108 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $273 | — | — | 4–40 | $273 – $273 |
| 12 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $956 | $956 | — | — | 3–30 | $956 – $956 |
| 13 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $329 | $314 | $53 | 17% | 3–30 | $229 – $368 |
| 14 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $295 | $324 | $50 | 16% | 3–30 | $248 – $383 |
| 15 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 5 | $70 | $77 | $16 | 21% | 2–20 | $66 – $109 |
| 16 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ other · outpatient | 2 | $357 | $357 | — | — | 2–20 | $357 – $357 |
| 17 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ other · outpatient | 2 | $357 | $357 | — | — | 2–20 | $357 – $357 |
| 18 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | 1–10 | $113 – $113 |
| 19 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $154 | $154 | $1 | 0% | 1–10 | $154 – $155 |
| 20 | Carteret County General Hospital Corporation Morehead City, NC facility · fee schedule · both | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 21 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $302 | $302 | — | — | 1–10 | $302 – $302 |
| 22 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 3 | $25 | $31 | $9 | 30% | 1–10 | $24 – $44 |
| 23 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $262 | $262 | — | — | 1–10 | $262 – $262 |
| 24 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 1 | $336 | $336 | — | — | 1–10 | $336 – $336 |
| 25 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $123 | $147 | $30 | 20% | 1–10 | $123 – $187 |
← Payers reporting CPT 99156 · Snapshot 20261111T120946Z-9134e7f7