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
Non-Emergent Care Lvl 1 Est Pt
Low
$0
Average
$159
Median
$66
High
$15.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1011 hospitals; the 90th percentile is 11.8× 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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1,707 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $55 | $55 | — | — | 50,343 | $55 – $55 |
| 2 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $81 | $81 | $0 | 0% | 11,420 | $81 – $81 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $77 | $76 | $4 | 5% | 3,417–3,453 | $70 – $83 |
| 4 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $73 | $73 | — | — | 2,636 | $73 – $73 |
| 5 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $26 | $26 | $1 | 5% | 1,533–1,551 | $25 – $28 |
| 6 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 2 | $56 | $56 | $5 | 8% | 1,278 | $52 – $61 |
| 7 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 2 | $56 | $56 | $5 | 8% | 1,278 | $52 – $61 |
| 8 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $71 | $74 | $6 | 8% | 1,269–1,296 | $71 – $85 |
| 9 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 4 | $19 | $19 | $8 | 40% | 939 | $6 – $26 |
| 10 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $50 | $52 | $17 | 33% | 866–902 | $23 – $74 |
| 11 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $50 | $52 | $17 | 33% | 855–891 | $23 – $74 |
| 12 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $50 | $52 | $17 | 33% | 855–891 | $23 – $74 |
| 13 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $50 | $52 | $17 | 33% | 847–883 | $23 – $74 |
| 14 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $50 | $52 | $17 | 33% | 843–879 | $23 – $74 |
| 15 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $9 | $9 | — | — | 677 | $9 – $9 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $90 | $67 | $31 | 46% | 665–683 | $32 – $103 |
| 17 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $63 | $65 | $31 | 48% | 592–610 | $32 – $103 |
| 18 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $49 | $50 | $1 | 2% | 565–637 | $49 – $52 |
| 19 | Mayo Clinic Health System St, NE professional · fee schedule · outpatient | 4 | $25 | $25 | $2 | 6% | 501–519 | $22 – $26 |
| 20 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 6 | $14 | $11 | $3 | 29% | 484–520 | $7 – $14 |
| 21 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $86 | $150 | $119 | 80% | 467–521 | $28 – $353 |
| 22 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $83 | $149 | $121 | 81% | 459 | $18 – $353 |
| 23 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 5 | $25 | $23 | $3 | 13% | 438–474 | $19 – $26 |
| 24 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 5 | $208 | $684 | $908 | 133% | 418–454 | $22 – $2.7k |
| 25 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $86 | $151 | $119 | 78% | 391–418 | $32 – $353 |
← Payers reporting CPT 99211 · Snapshot 20261111T120946Z-9134e7f7