Low
$125
Average
$125
Median
$125
High
$125
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2 hospital rates
iThe hospitals that file a Bcbs Nj 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 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $107 | $97 | $30 | 31% | — | $56 – $127 |
← Payers reporting CPT 99395 · Snapshot 20261111T120946Z-9134e7f7