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
$914
Median
$547
High
$6.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
89 hospitals; the 90th percentile is 62.2× 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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105 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.5k | $1.4k | 94% | 2–20 | $111 – $3.3k |
| 2 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 6 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $193 | $193 | — | — | — | $193 – $193 |
| 8 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 9 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $196 | $196 | $1 | 0% | — | $195 – $197 |
| 10 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $239 | $239 | $27 | 11% | — | $212 – $266 |
| 11 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 12 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $2.8k | $2.8k | $533 | 19% | — | $2.3k – $3.3k |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $2.8k | $2.8k | $533 | 19% | — | $2.3k – $3.3k |
| 14 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 15 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | $49 | 4% | — | $1.1k – $1.2k |
| 16 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 17 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 18 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 20 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | Essentia Health Virginia 901 9th St N Virginia, MN facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 2 | $21 | $21 | $17 | 82% | — | $4 – $39 |
| 24 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $43 | $43 | $0 | 1% | — | $42 – $43 |
| 25 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 2 | $4 | $4 | $0 | 4% | — | $4 – $4 |
← Payers reporting HCPCS A9279 · Snapshot 20261111T120946Z-9134e7f7