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
FCP OPTH WATZKE SS TI SLV SPRD NS REUS
Low
$7
Average
$397
Median
$287
High
$4.7k
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 6.1× 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.
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30 hospital rates
iThe hospitals that file a Magellan 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | $273 | 87% | — | $41 – $588 |
| 2 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | $273 | 87% | — | $41 – $588 |
| 3 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | $273 | 87% | — | $41 – $588 |
| 4 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | $273 | 87% | — | $41 – $588 |
| 5 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | $273 | 87% | — | $41 – $588 |
| 6 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $69 | $41 | 60% | — | $40 – $189 |
| 8 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $85 | $51 | 60% | — | $49 – $234 |
| 9 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $56 | $34 | 60% | — | $33 – $155 |
| 10 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $60 | $36 | 60% | — | $35 – $166 |
| 11 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $79 | $48 | 60% | — | $46 – $218 |
| 12 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $81 | $49 | 60% | — | $47 – $224 |
| 13 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $53 | $32 | 60% | — | $31 – $145 |
| 14 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $273 | $627 | $769 | 123% | — | $66 – $3.4k |
| 15 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $183 | $334 | $332 | 99% | — | $48 – $1.4k |
| 16 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 17 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $1.3k | $1.6k | 129% | — | $97 – $5.9k |
| 18 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $141 | $221 | 157% | — | $15 – $736 |
| 19 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $75 | $148 | $176 | 119% | — | $23 – $773 |
| 20 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $101 | $120 | 119% | — | $16 – $527 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $101 | $116 | 115% | — | $16 – $527 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $101 | $120 | 119% | — | $16 – $527 |
| 23 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $148 | $258 | $266 | 103% | — | $4 – $1.1k |
| 24 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $87 | $199 | $244 | 123% | — | $21 – $1.1k |
| 25 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $183 | $332 | $330 | 99% | — | $48 – $1.1k |
← Payers reporting HCPCS C1784 · Snapshot 20261111T120946Z-9134e7f7