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
CAPSULE BRAVO DEL SYSTEM
Low
$0
Average
$988
Median
$745
High
$4.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
61 hospitals; the 90th percentile is 172.1× 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.
Filter by billing methodology
Filter by billing class
69 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $125 | 11% | — | $997 – $1.2k |
| 3 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 9 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 10 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $891 | $484 | 54% | — | $206 – $1.2k |
| 11 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Denver Health and Hospital Authority Denver, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $127 | $189 | 149% | — | $2 – $466 |
| 13 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $7 | $7 | $1 | 8% | — | $6 – $8 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $6 | $2 | 25% | — | $4 – $8 |
| 18 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $2.6k | $2.6k | $449 | 17% | — | $2.2k – $3.1k |
| 19 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 20 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 2 | $1.3k | $924 | $525 | 57% | — | $182 – $1.3k |
| 21 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 23 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · outpatientfrom % of charges | 1 | $868 | $868 | — | — | — | $868 – $868 |
| 25 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 3 | $1.4k | $1.4k | $84 | 6% | — | $1.1k – $1.4k |
← Payers reporting HCPCS A9279 · Snapshot 20261111T120946Z-9134e7f7