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
1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes
Low
$46
Average
$274
Median
$111
High
$26.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
289 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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442 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 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $212 | $212 | — | — | 18–36 | $212 – $212 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $96 | $82 | $16 | 20% | 3–30 | $48 – $96 |
| 3 | HOULTON REGIONAL HOSPITAL HOULTON, ME fee schedule · outpatient | 1 | $80 | $80 | — | — | 2–20 | $80 – $80 |
| 4 | Wayne County Hospital Monticello, KY percent of total billed charges · bothfrom % of charges | 1 | $155 | $155 | $9 | 6% | 2–20 | $146 – $164 |
| 5 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 2 | $380 | $380 | $31 | 8% | 1–10 | $349 – $412 |
| 6 | Brattleboro Retreat Brattleboro, VT both | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 7 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 6 | $132 | $104 | $38 | 37% | 1–10 | $48 – $139 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $133 | $129 | $42 | 32% | — | $74 – $171 |
| 10 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 11 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $116 | $116 | $40 | 34% | — | $76 – $155 |
| 12 | Acadia Hospital Bangor, ME professional · percent of total billed charges · outpatientfrom % of charges | 2 | $477 | $477 | — | — | — | $477 – $477 |
| 13 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 14 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $86 | $86 | — | — | — | $86 – $86 |
| 17 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $86 | $86 | — | — | — | $86 – $86 |
| 18 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $71 | $71 | — | — | — | $71 – $71 |
| 19 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $98 | $98 | — | — | — | $98 – $98 |
| 20 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 5 | $218 | $162 | $77 | 47% | — | $62 – $229 |
| 21 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 22 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 4 | $135 | $140 | $79 | 56% | — | $61 – $229 |
| 23 | Aspirus Medford Hospital Medford, WI fee schedule · both | 4 | $129 | $133 | $73 | 55% | — | $58 – $218 |
| 24 | Aspirus Merrill Hospital Merrill, WI fee schedule · both | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 25 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 9 | $75 | $121 | $76 | 63% | — | $60 – $238 |
← Payers reporting CPT 99221 · Snapshot 20261111T120946Z-9134e7f7