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 Sed Other Phys/Qhp Ea
Low
$20
Average
$98
Median
$82
High
$334
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 2.5× 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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26 hospital rates
iThe hospitals that file a Carefirst 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $69 | $69 | $17 | 24% | — | $50 – $86 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $69 | $69 | $17 | 24% | — | $50 – $86 |
| 3 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $109 | $109 | $33 | 31% | — | $75 – $142 |
| 5 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 6 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 7 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · inpatient | 2 | $69 | $67 | $3 | 4% | — | $64 – $69 |
| 8 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · outpatient | 2 | $100 | $97 | $4 | 4% | — | $92 – $100 |
| 9 | Inova Alexandria Hospital Alexandria, VA other · both | 2 | $107 | $107 | $3 | 3% | — | $105 – $110 |
| 10 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $107 | $107 | $3 | 3% | — | $105 – $110 |
| 11 | Inova Fairfax Hospital Falls Church, VA other · both | 2 | $107 | $107 | $3 | 3% | — | $105 – $110 |
| 12 | Inova Loudoun Hospital Leesburg, VA other · both | 2 | $107 | $107 | $3 | 3% | — | $105 – $110 |
| 13 | Inova Mount Vernon Hospital Alexandria, VA other · both | 2 | $107 | $107 | $3 | 3% | — | $105 – $110 |
| 14 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 15 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 3 | $69 | $69 | $17 | 24% | — | $50 – $86 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 3 | $69 | $69 | $17 | 24% | — | $50 – $86 |
| 18 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 19 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $19 | $19 | $3 | 13% | — | $17 – $22 |
| 20 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 3 | $60 | $55 | $19 | 34% | — | $32 – $73 |
| 22 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 3 | $64 | $58 | $17 | 29% | — | $35 – $73 |
| 23 | UPMC Hanover Hanover, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 24 | UPMC Hanover Hanover, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 25 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 2 | $82 | $82 | — | — | — | $82 – $82 |
← Payers reporting CPT 99157 · Snapshot 20261112T181611Z-3fa9fb76