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
$13
Average
$275
Median
$182
High
$1.1k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
110 hospitals; the 90th percentile is 5.3× 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.
Filter by billing methodology
Filter by billing class
144 hospital rates
iThe hospitals that file a First Health 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 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 2 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 3 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 4 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 6 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $210 | $210 | $16 | 8% | — | $187 – $233 |
| 7 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $210 | $16 | 8% | — | $187 – $233 |
| 8 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $304 | $304 | — | — | — | $304 – $304 |
| 16 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | — | — | — | $304 – $304 |
| 17 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $110 | $110 | $7 | 6% | — | $103 – $117 |
| 18 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 19 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 20 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 21 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $327 | $331 | $105 | 32% | — | $194 – $475 |
| 22 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $110 | $110 | $7 | 6% | — | $103 – $117 |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 25 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $175 | $175 | — | — | — | $175 – $175 |
← Payers reporting CPT 99404 · Snapshot 20261112T181611Z-3fa9fb76