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
Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 60 Min
Low
$0
Average
$335
Median
$218
High
$13.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
315 hospitals; the 90th percentile is 5.2× 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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414 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $494 | $470 | $34 | 7% | 111 | $421 – $494 |
| 2 | Prairie Lakes Health Care System Inc. Watertown, SD fee schedule · both | 21 | $153 | $153 | — | — | 14–32 | $153 – $153 |
| 3 | Lancaster General Health Lancaster, PA facility · other · outpatient | 2 | $186 | $189 | $105 | 56% | 2–20 | $81 – $303 |
| 4 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $174 | $174 | $54 | 31% | 1–10 | $120 – $228 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $281 | $286 | $12 | 4% | 1–10 | $275 – $312 |
| 6 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 2 | $208 | $208 | $103 | 50% | — | $105 – $311 |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $169 | $169 | $9 | 5% | — | $160 – $178 |
| 8 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $304 | $304 | — | — | — | $304 – $304 |
| 9 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $143 | $143 | $12 | 8% | — | $131 – $155 |
| 10 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 11 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 4 | $237 | $213 | $57 | 27% | — | $117 – $262 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $119 | $119 | $4 | 3% | — | $116 – $123 |
| 13 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 7 | $282 | $273 | $38 | 14% | — | $177 – $320 |
| 14 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 15 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $419 | $419 | $29 | 7% | — | $390 – $449 |
| 16 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $419 | $419 | $29 | 7% | — | $390 – $449 |
| 17 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $644 | $639 | $34 | 5% | — | $596 – $678 |
| 18 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $654 | $649 | $34 | 5% | — | $604 – $688 |
| 19 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $632 | $628 | $33 | 5% | — | $585 – $666 |
| 20 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $399 | $396 | $21 | 5% | — | $369 – $420 |
| 21 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $648 | $643 | $34 | 5% | — | $599 – $682 |
| 22 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $652 | $647 | $34 | 5% | — | $603 – $686 |
| 23 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $652 | $647 | $34 | 5% | — | $603 – $686 |
| 24 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $641 | $637 | $34 | 5% | — | $593 – $675 |
| 25 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $305 | $302 | $16 | 5% | — | $282 – $321 |
← Payers reporting CPT 99404 · Snapshot 20261112T181611Z-3fa9fb76