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
$257
Average
$400
Median
$352
High
$2.0k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
109 hospitals; the 90th percentile is 1.1× 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
111 hospital rates
iThe hospitals that file a Medicare 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 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $344 | $344 | — | — | 887 | $344 – $344 |
| 2 | Brigham and Women's Hospital Boston, MA other · both | 1 | $342 | $342 | — | — | 153 | $342 – $342 |
| 3 | St. Charles Bend Bend, OR other · both | 1 | $383 | $383 | — | — | 58 | $383 – $383 |
| 4 | St. Charles Redmond Redmond, OR other · both | 1 | $383 | $383 | — | — | 58 | $383 – $383 |
| 5 | John Muir Health Walnut Creek, CA other · outpatient | 3 | $357 | $357 | — | — | 54 | $357 – $357 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN other · both | 1 | $357 | $357 | — | — | 29 | $357 – $357 |
| 7 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $357 | $357 | — | — | 26 | $357 – $357 |
| 8 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $357 | $357 | — | — | 26 | $357 – $357 |
| 9 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $357 | $357 | — | — | 22 | $357 – $357 |
| 10 | Reid Health Richmond, IN other · both | 3 | $383 | $383 | — | — | 21 | $383 – $383 |
| 11 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $357 | $357 | — | — | 20 | $357 – $357 |
| 12 | Tufts Medical Center BOSTON, MA other · both | 1 | $887 | $887 | — | — | 2–20 | $887 – $887 |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · both | 2 | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 14 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $342 | $342 | — | — | 1–10 | $342 – $342 |
| 15 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $297 | $297 | $59 | 20% | — | $238 – $355 |
| 17 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 18 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 19 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 20 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $275 | $294 | $135 | 46% | — | $143 – $483 |
| 21 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 22 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 23 | Boston Medical Center Boston, MA other · both | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 24 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
← Payers reporting HCPCS C1717 · Snapshot 20261111T120946Z-9134e7f7