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
$1
Average
$284
Median
$147
High
$5.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
516 hospitals; the 90th percentile is 5.8× 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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776 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $229 | $229 | $17 | 7% | 5,937 | $213 – $246 |
| 2 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 2 | $202 | $202 | $2 | 1% | 3,199 | $200 – $204 |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $229 | $229 | $17 | 7% | 2,201 | $213 – $246 |
| 4 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $204 | $203 | $2 | 1% | 1,220–1,229 | $200 – $204 |
| 5 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 2 | $202 | $202 | $2 | 1% | 1,044 | $200 – $204 |
| 6 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $217 | $54 | 25% | 340 | $161 – $304 |
| 7 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 5 | $76 | $82 | $20 | 24% | 199 | $61 – $120 |
| 8 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $346 | $346 | — | — | 181 | $346 – $346 |
| 9 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 4 | $73 | $152 | $116 | 77% | 82–91 | $62 – $316 |
| 10 | Nantucket Cottage Hospital Nantucket, MA percent of total billed charges · outpatientfrom % of charges | 2 | $412 | $449 | $72 | 16% | 65 | $398 – $582 |
| 11 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 43 | $62 – $62 |
| 12 | Buchanan County Health Center Independence, IA professional · other · outpatient | 2 | $129 | $129 | — | — | 26–35 | $129 – $129 |
| 13 | Lake Charles Memorial Hospital Charles., LA other · outpatient | 1 | $75 | $75 | — | — | 24 | $75 – $75 |
| 14 | Holyoke Medical Center Holyoke, MA facility · other · outpatient | 3 | $2.7k | $2.7k | $9 | 0% | 12–21 | $2.7k – $2.7k |
| 15 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 4 | $99 | $102 | $36 | 35% | 6–60 | $65 – $147 |
| 16 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · inpatientfrom % of charges | 1 | $194 | $209 | $52 | 25% | 4–40 | $156 – $293 |
| 17 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $96 | $82 | $17 | 21% | 4–40 | $48 – $96 |
| 18 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 5 | $116 | $109 | $18 | 16% | 3–30 | $75 – $127 |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $212 | $212 | — | — | 3–30 | $212 – $212 |
| 20 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 4 | $96 | $84 | $15 | 18% | 3–30 | $52 – $96 |
| 21 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 3 | $58 | $57 | $5 | 9% | 3–30 | $50 – $63 |
| 22 | Benefis Community Hospitals, Inc Choteau, MT other · inpatient | 1 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 23 | Benefis Community Hospitals, Inc Choteau, MT percent of total billed charges · outpatientfrom % of charges | 1 | $513 | $513 | $98 | 19% | 2–20 | $415 – $611 |
| 24 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $448 | $445 | $23 | 5% | 2–20 | $401 – $463 |
| 25 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 3 | $81 | $74 | $9 | 13% | 2–20 | $62 – $81 |
← Payers reporting CPT 99221 · Snapshot 20261111T120946Z-9134e7f7