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
PR PREV MED NEW PAT 65+ YRS
Low
$0
Average
$314
Median
$206
High
$8.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
462 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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643 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $510 | $520 | $22 | 4% | 108–126 | $499 – $567 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 4 | $330 | $288 | $80 | 28% | 41–77 | $129 – $330 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $190 | $181 | $17 | 9% | 38–65 | $146 – $190 |
| 4 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $402 | $420 | $33 | 8% | 20–29 | $402 – $482 |
| 5 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $190 | $181 | $17 | 9% | 20–29 | $146 – $190 |
| 6 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $233 | $233 | — | — | 9–90 | $233 – $233 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 3 | $150 | $149 | $4 | 3% | 5–50 | $125 – $150 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 3 | $155 | $153 | $6 | 4% | 5–50 | $123 – $155 |
| 9 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $205 | $194 | $22 | 11% | 4–40 | $150 – $205 |
| 10 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $636 | $636 | $137 | 21% | 4–40 | $500 – $773 |
| 11 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $233 | $233 | — | — | 3–30 | $233 – $233 |
| 12 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $414 | $414 | — | — | 3–30 | $414 – $414 |
| 13 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $414 | $414 | — | — | 3–30 | $414 – $414 |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | 3–30 | $169 – $169 |
| 15 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 16 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | 2–20 | $158 – $158 |
| 17 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | $87 | 59% | 2–20 | $61 – $235 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 3 | $93 | $95 | $5 | 5% | 2–20 | $93 – $109 |
| 19 | Lake Charles Memorial Hospital Charles., LA other · outpatient | 1 | $146 | $146 | — | — | 2–20 | $146 – $146 |
| 20 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 3 | $176 | $179 | $8 | 5% | 2–20 | $171 – $192 |
| 21 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 12 | $441 | $394 | $104 | 26% | 2–20 | $173 – $483 |
| 22 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $172 | $157 | $21 | 14% | 2–20 | $131 – $176 |
| 23 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $440 | $443 | $20 | 4% | 2–20 | $419 – $478 |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $520 | $528 | $12 | 2% | 2–20 | $514 – $542 |
| 25 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | 2–20 | $149 – $149 |
← Payers reporting CPT 99387 · Snapshot 20261111T120946Z-9134e7f7