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
$103
Average
$148
Median
$147
High
$188
Each hospital's average Premera rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 1.3× 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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15 hospital rates
iThe hospitals that file a Premera 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 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 2 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Central Washington Health Services Association Wenatchee, WA fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $96 | $93 | $3 | 4% | — | $87 – $96 |
| 5 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $168 | $188 | $70 | 37% | — | $114 – $282 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 10 | Mercy Medical Center - Newton Newton, IA professional · fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 11 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 12 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 13 | Public Hospital District No 4 King County WA Snoqualmie, WA fee schedule · inpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 14 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · both | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 15 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $175 | $175 | $58 | 33% | — | $117 – $233 |
← Payers reporting CPT 99309 · Snapshot 20261111T120946Z-9134e7f7