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
Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure)
Low
$48
Average
$158
Median
$133
High
$364
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 1.8× 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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32 hospital rates
iThe hospitals that file a Anthem 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 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 2 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 3 | $297 | $332 | $117 | 35% | — | $133 – $501 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 3 | $425 | $393 | $91 | 23% | — | $135 – $425 |
| 4 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 12 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 13 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 14 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 15 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 16 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 17 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 18 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 19 | ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 20 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 21 | St Francis Hospital Colorado Springs, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 22 | The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 23 | Uchicago Medicine Northwest Indiana Crown Point, IN fee schedule · outpatient | 2 | $280 | $280 | $115 | 41% | — | $165 – $396 |
| 24 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 25 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
← Payers reporting HCPCS A2034 · Snapshot 20261112T181611Z-3fa9fb76