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
HC Miro3d per Cubic Cm
Low
$103
Average
$412
Median
$154
High
$7.0k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 3.2× 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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36 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 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $249 | $352 | $253 | 72% | — | $0 – $712 |
| 2 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Christian Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $249 | $377 | $222 | 59% | — | $122 – $712 |
| 4 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 6 | Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 7 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | $61 | 33% | — | $122 – $243 |
| 8 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $156 | $156 | $42 | 27% | — | $113 – $199 |
| 9 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | $52 | 27% | — | $143 – $248 |
| 10 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 11 | Mercy Hospital Pittsburg Inc Pittsburg, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $153 | $55 | 36% | — | $113 – $264 |
| 12 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 13 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $85 | $103 | $45 | 43% | — | $65 – $179 |
| 14 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $162 | $55 | 34% | — | $91 – $243 |
| 15 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $162 | $55 | 34% | — | $91 – $243 |
| 16 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $156 | $156 | $42 | 27% | — | $113 – $199 |
| 17 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $132 | $60 | 45% | — | $87 – $244 |
| 18 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $249 | $377 | $222 | 59% | — | $122 – $712 |
| 19 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 20 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 21 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 22 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 23 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 24 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 25 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
← Payers reporting HCPCS A2025 · Snapshot 20261111T120946Z-9134e7f7