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
BLS
Low
$1
Average
$580
Median
$413
High
$5.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
254 hospitals; the 90th percentile is 4.7× 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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310 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 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 2 | $262 | $262 | $1 | 0% | 35–44 | $261 – $263 |
| 2 | Christian Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $756 | $880 | $152 | 17% | 3–30 | $667 – $1.1k |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 5 | $454 | $386 | $108 | 28% | 2–20 | $224 – $504 |
| 4 | Gila Regional Medical Center Silver County, NM facility · fee schedule · both | 1 | $325 | $325 | $0 | 0% | 2–20 | $324 – $325 |
| 5 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · fee schedule · both | 1 | $262 | $262 | — | — | 1–10 | $262 – $262 |
| 6 | Preferred Hospital Leasing Shamrock, Inc. Shamrock, TX facility · fee schedule · both | 1 | $332 | $332 | — | — | 1–10 | $332 – $332 |
| 7 | Preferred Hospital Leasing Van Horn Inc. Van Horn, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $295 | $295 | — | — | 1–10 | $295 – $295 |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 9 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 10 | Alton Memorial Hospital Alton, IL fee schedule · both | 1 | $290 | $290 | $3 | 1% | — | $281 – $293 |
| 11 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 5 | $893 | $897 | $145 | 16% | — | $749 – $1.1k |
| 12 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $393 | $365 | $40 | 11% | — | $309 – $393 |
| 13 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $393 | $365 | $40 | 11% | — | $309 – $393 |
| 14 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 15 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $10 | 1% | — | $1.1k – $1.1k |
| 16 | Astera Health Wadena, MN per diem · inpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 17 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 3 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.4k | $318 | 23% | — | $815 – $1.5k |
| 19 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 3 | $497 | $466 | $61 | 13% | — | $382 – $520 |
| 20 | Baptist Memorial Hospital-Booneville Booneville, MS facility · fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 21 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 22 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 23 | Baptist Memorial Hospital-Carroll County Huntingdon, TN facility · fee schedule · outpatient | 4 | $258 | $258 | — | — | — | $258 – $258 |
| 24 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 25 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
← Payers reporting HCPCS A0428 · Snapshot 20261111T120946Z-9134e7f7