Low
$66
Average
$164
Median
$140
High
$363
Each hospital's average Premera rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 1.7× 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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65 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $137 | $137 | — | — | 49–58 | $137 – $137 |
| 2 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $156 | $156 | — | — | 28 | $156 – $156 |
| 3 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both | 1 | $92 | $92 | — | — | 16–25 | $92 – $92 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $147 | $147 | — | — | 2–20 | $147 – $147 |
| 5 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 6 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $116 | $116 | — | — | 2–20 | $116 – $116 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 8 | Mount Carmel Grove City Grove City, OH professional · fee schedule · both | 1 | $166 | $166 | — | — | 2–20 | $166 – $166 |
| 9 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $186 | $186 | — | — | 2–20 | $186 – $186 |
| 10 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $297 | $297 | — | — | 2–20 | $297 – $297 |
| 11 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 12 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $297 | $297 | — | — | 2–20 | $297 – $297 |
| 13 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 1 | $140 | $140 | — | — | 2–20 | $140 – $140 |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $98 | $98 | — | — | 1–10 | $98 – $98 |
| 15 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 16 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 17 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 18 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $143 | $189 | $67 | 35% | — | $142 – $284 |
| 19 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 20 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 21 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $56 | $66 | $28 | 43% | — | $38 – $105 |
| 22 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 24 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 25 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
← Payers reporting CPT 99395 · Snapshot 20261111T120946Z-9134e7f7