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
Hdr I192 Tx Source
Low
$39
Average
$955
Median
$646
High
$49.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
632 hospitals; the 90th percentile is 5.6× 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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934 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $551 | $486 | $161 | 33% | 107–125 | $127 – $594 |
| 2 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $142 | $142 | — | — | 47–101 | $142 – $142 |
| 3 | Mayo Clinic Rochester, MN facility · other · both | 3 | $402 | $399 | $5 | 1% | 40–49 | $391 – $402 |
| 4 | Brigham and Women's Hospital Boston, MA other · both | 1 | $342 | $342 | — | — | 28 | $342 – $342 |
| 5 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 1 | $342 | $342 | — | — | 27 | $342 – $342 |
| 6 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 1 | $342 | $342 | — | — | 27 | $342 – $342 |
| 7 | Mercy Health Saint Marys Rockford, MI facility · other · both | 2 | $357 | $357 | $7 | 2% | 25–34 | $350 – $365 |
| 8 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $535 | $535 | $180 | 34% | 22 | $355 – $714 |
| 9 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $535 | $535 | $180 | 34% | 22 | $355 – $714 |
| 10 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $433 | $462 | $58 | 13% | 19 | $433 – $577 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $710 | $710 | — | — | 19 | $710 – $710 |
| 12 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $344 | $344 | — | — | 16 | $344 – $344 |
| 13 | Mayo Clinic Rochester, MN facility · fee schedule · both | 1 | $357 | $357 | — | — | 13 | $357 – $357 |
| 14 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $361 | $361 | — | — | 13 | $361 – $361 |
| 15 | St Peters Hospital Albany, NY facility · other · both | 1 | $1.0k | $1.0k | — | — | 12–21 | $1.0k – $1.0k |
| 16 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $122 | $122 | — | — | 12–21 | $122 – $122 |
| 17 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $122 | $122 | — | — | 12–21 | $122 – $122 |
| 18 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $923 | $1.8k | $1.4k | 80% | 6–60 | $592 – $4.0k |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 2 | $537 | $537 | $95 | 18% | 4–40 | $442 – $632 |
| 20 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $379 | $410 | $53 | 13% | 2–20 | $295 – $467 |
| 21 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $695 | $695 | — | — | 2–20 | $695 – $695 |
| 22 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $390 | $492 | $190 | 39% | 2–20 | $328 – $758 |
| 23 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $390 | $492 | $190 | 39% | 2–20 | $328 – $758 |
| 24 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $2.0k | $2.0k | — | — | 2–20 | $2.0k – $2.0k |
| 25 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 2 | $357 | $357 | $7 | 2% | 2–20 | $350 – $365 |
← Payers reporting HCPCS C1717 · Snapshot 20261111T120946Z-9134e7f7