Low
$88
Average
$134
Median
$138
High
$172
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5 hospital rates
iThe hospitals that file a Bcbs Id 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 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 2 | $145 | $145 | $40 | 27% | — | $106 – $185 |
| 2 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 3 | $183 | $190 | $34 | 18% | — | $140 – $237 |
| 3 | North Canyon Medical Center Inc. Gooding, ID facility · fee schedule · outpatient | 2 | $119 | $119 | $48 | 41% | — | $70 – $167 |
| 4 | WEISER VALLEY HOSPITAL DISTRICT Weiser, ID facility · fee schedule · both | 4 | $128 | $158 | $90 | 57% | — | $78 – $296 |
| 5 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
← Payers reporting CPT 99395 · Snapshot 20261111T120946Z-9134e7f7