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
PR CMPLX CHRONIC CARE EA ADD 30
Low
$28
Average
$104
Median
$118
High
$198
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 4.3× 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.
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16 hospital rates
iThe hospitals that file a Excellus 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 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $121 | $121 | — | — | — | $121 – $121 |
| 4 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $182 | $182 | — | — | — | $182 – $182 |
| 5 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 6 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 7 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 9 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $211 | $211 | $135 | 64% | — | $75 – $346 |
| 10 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 11 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 3 | $77 | $69 | $16 | 24% | — | $46 – $85 |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 3 | $44 | $53 | $23 | 43% | — | $31 – $85 |
| 14 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 4 | $121 | $121 | — | — | — | $121 – $121 |
| 15 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $118 | $118 | $82 | 69% | — | $36 – $200 |
| 16 | University of Vermont Medical Center Inc Colchester, VT professional · fee schedule · both | 2 | $119 | $119 | $42 | 35% | — | $77 – $161 |
← Payers reporting CPT 99489 · Snapshot 20261112T181611Z-3fa9fb76