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
$261
Average
$357
Median
$357
High
$402
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
158 hospitals; the 90th percentile is 1.2× 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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158 hospital rates
iThe hospitals that file a Devoted 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 | Banner Boswell Medical Center Sun City, AZ facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 2 | Banner Desert Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 3 | Banner Gateway Medical Center Gilbert, AZ facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 4 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 5 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 6 | Banner Thunderbird Medical Center Glendale, AZ facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 7 | Banner University Medical Center Phoenix Phoenix, AZ facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 8 | Banner University Medical Center Tucson Tucscon, AZ facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 9 | Baptist Memorial Hospital-Collierville Collierville, TN facility · fee schedule · outpatient | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 10 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · fee schedule · outpatient | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 11 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · fee schedule · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 12 | Baptist Memorial Hospital-Memphis Memphis, TN facility · fee schedule · outpatient | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 13 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 14 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · fee schedule · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 15 | Baptist Memorial Hospital-Women's Memphis, TN facility · fee schedule · outpatient | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 16 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 17 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 18 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 19 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 20 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
← Payers reporting HCPCS C1717 · Snapshot 20261111T120946Z-9134e7f7