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
Fee Schedule
Low
$6
Average
$138
Median
$72
High
$325
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 35.0× 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
12 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 | Black River Health Inc Black River Falls, WI facility · fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 2 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 3 | Denver Health and Hospital Authority Denver, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 4 | $6 | $6 | $1 | 24% | — | $5 – $9 |
| 5 | Dukes Health System LLC Peru, IN facility · other · outpatient | 1 | $8 | $8 | $1 | 13% | — | $7 – $10 |
| 6 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 7 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 8 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 9 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | $1 | 13% | — | $9 – $11 |
| 10 | MENORAH MEDICAL CENTER Overland Park, KS percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 11 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | $1 | 13% | — | $8 – $11 |
| 12 | Yuma District Hospital Yuma, CO percent of total billed charges · outpatientfrom % of charges | 3 | $89 | $82 | $15 | 18% | — | $61 – $95 |
← Payers reporting HCPCS A4466 · Snapshot 20261113T090226Z-3ce6c0b8