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
Gradient comp sleeve
Low
$54
Average
$139
Median
$122
High
$219
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 2.1× 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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23 hospital rates
iThe hospitals that file a MultiPlan 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $113 | $114 | $3 | 3% | — | $113 – $119 |
| 4 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $114 | $3 | 3% | — | $113 – $119 |
| 5 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $110 | $112 | $3 | 3% | — | $110 – $117 |
| 6 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $112 | $3 | 3% | — | $110 – $117 |
| 7 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $113 | $114 | $3 | 3% | — | $113 – $119 |
| 8 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $114 | $3 | 3% | — | $113 – $119 |
| 9 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 10 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 11 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 12 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 13 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 14 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 15 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · inpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 16 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 17 | Northside Hospital, Inc. Canton, GA percent of total billed charges · inpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 18 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 19 | Paul Oliver Memorial Hospital Frankfort, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $113 | $114 | $3 | 3% | — | $113 – $119 |
| 20 | Paul Oliver Memorial Hospital Frankfort, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $114 | $3 | 3% | — | $113 – $119 |
| 21 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 22 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 23 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
← Payers reporting HCPCS A6578 · Snapshot 20261112T124536Z-e251e855