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.
Generation details were not recorded for this description.
Original text from hospital filings
Special casting material
Low
$25
Average
$56
Median
$50
High
$204
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 4.0× 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.
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43 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $300 | $300 | $14 | 5% | — | $286 – $314 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 11 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 15 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 16 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Penn State Health Hampden Medical Center Enola, PA other · both | 1 | $35 | $32 | $12 | 38% | — | $10 – $52 |
| 19 | Penn State Health Holy Spirit Medical Center Camp Hill, PA fee schedule · both | 1 | $84 | $85 | $31 | 36% | — | $30 – $120 |
| 20 | Penn State Health Holy Spirit Medical Center Camp Hill, PA other · both | 1 | $105 | $106 | $39 | 37% | — | $38 – $151 |
| 21 | Penn State Health Lancaster Medical Center Lancaster, PA fee schedule · both | 1 | $33 | $33 | $12 | 37% | — | $12 – $47 |
| 22 | Penn State Health Lancaster Medical Center Lancaster, PA other · both | 1 | $40 | $37 | $14 | 38% | — | $12 – $59 |
| 23 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 2 | $62 | $62 | $37 | 60% | — | $25 – $99 |
| 24 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 2 | $40 | $40 | $24 | 60% | — | $16 – $64 |
| 25 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient | 11 | $50 | $50 | — | — | — | $50 – $50 |
← Payers reporting HCPCS A4590 · Snapshot 20261111T120946Z-9134e7f7