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
PB HOSPITAL PRO FEE PR SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
Low
$60
Average
$118
Median
$100
High
$264
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 3.2× 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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24 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $109 | $84 | $37 | 44% | — | $32 – $111 |
| 2 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 3 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $90 | $92 | $30 | 32% | — | $57 – $130 |
| 4 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $106 | $108 | $35 | 32% | — | $67 – $152 |
| 5 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $101 | $81 | $35 | 43% | — | $32 – $109 |
| 6 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $78 | $88 | $31 | 35% | — | $57 – $130 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $91 | $103 | $36 | 35% | — | $67 – $152 |
| 9 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 3 | $101 | $81 | $35 | 43% | — | $32 – $109 |
| 10 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 3 | $49 | $61 | $35 | 57% | — | $23 – $120 |
| 11 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 6 | $97 | $89 | $30 | 34% | — | $33 – $129 |
| 12 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 3 | $95 | $110 | $46 | 42% | — | $63 – $172 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 3 | $91 | $103 | $36 | 35% | — | $67 – $152 |
| 14 | Mercy Medical Center - Newton Newton, IA professional · fee schedule · both | 3 | $78 | $88 | $31 | 35% | — | $57 – $130 |
| 15 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 3 | $91 | $103 | $36 | 35% | — | $67 – $152 |
| 16 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 17 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 3 | $49 | $61 | $35 | 57% | — | $23 – $120 |
| 18 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $310 | $310 | $199 | 64% | — | $111 – $509 |
| 19 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 20 | St. James Hospital Hornell, NY fee schedule · outpatient | 3 | $49 | $60 | $33 | 55% | — | $23 – $114 |
| 21 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · both | 3 | $106 | $108 | $35 | 32% | — | $67 – $152 |
| 22 | Strong Memorial Hospital Rochester, NY fee schedule · both | 3 | $170 | $180 | $118 | 66% | — | $27 – $424 |
| 23 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $264 | $264 | $183 | 69% | — | $81 – $447 |
| 24 | University of Vermont Medical Center Inc Colchester, VT professional · fee schedule · both | 3 | $112 | $130 | $88 | 68% | — | $32 – $245 |
← Payers reporting CPT 99309 · Snapshot 20261111T120946Z-9134e7f7