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
Lead Pace Quartet Sm 75cm
Low
$0
Average
$4.6k
Median
$3.1k
High
$37.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
615 hospitals; the 90th percentile is 29.7× 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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780 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 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.2k | $2.4k | $829 | 34% | 188–1,880 | $1.6k – $6.1k |
| 2 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $4.1k | $4.1k | — | — | 82–820 | $4.1k – $4.1k |
| 3 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $1.8k | $1.8k | — | — | 54–540 | $1.8k – $1.8k |
| 4 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $1.5k | $2.1k | $2.6k | 122% | 37–370 | $1.1k – $17.9k |
| 5 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 9 | $2.7k | $3.6k | $5.1k | 142% | 35–206 | $447 – $28.6k |
| 6 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $2.2k | $2.9k | $3.5k | 124% | 33–330 | $150 – $27.5k |
| 7 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.6k | $2.7k | $962 | 36% | 28–280 | $1.6k – $6.1k |
| 8 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.3k | $375 | 29% | 25–250 | $58 – $2.0k |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $2.3k | $2.2k | $549 | 25% | 25–250 | $65 – $3.1k |
| 10 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $927 | $822 | $242 | 29% | 25–250 | $24 – $1.3k |
| 11 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $1.1k | $968 | $289 | 30% | 24–240 | $29 – $1.5k |
| 12 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $5.0k | $4.6k | $938 | 21% | 24–240 | $2.2k – $5.6k |
| 13 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 23–230 | $2.5k – $2.5k |
| 14 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $1.0k | $955 | $300 | 31% | 22–220 | $28 – $1.5k |
| 15 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $6.2k | $6.2k | $2.4k | 38% | 21–210 | $887 – $12.3k |
| 16 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $5.2k | $6.0k | $1.7k | 29% | 18–180 | $4.6k – $9.2k |
| 17 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $2.3k | $2.5k | $462 | 19% | 18–180 | $1.8k – $3.3k |
| 18 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · fee schedule · both | 1 | $3.5k | $3.5k | — | — | 16–160 | $3.5k – $3.5k |
| 19 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 4 | $5.2k | $6.0k | $1.7k | 29% | 9–90 | $4.6k – $9.2k |
| 20 | ROBERT PACKER HOSPITAL Sayre, PA facility · fee schedule · both | 1 | $4.4k | $4.4k | — | — | 9–90 | $4.4k – $4.4k |
| 21 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $2.8k | $2.8k | $413 | 15% | 6–60 | $2.3k – $3.3k |
| 22 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $11.3k | $10.3k | $1.2k | 12% | 5–50 | $8.8k – $11.3k |
| 23 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 50 | $4.7k | $4.7k | $75 | 2% | 5–50 | $4.4k – $4.7k |
| 24 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $4.7k | $4.7k | — | — | 5–50 | $4.7k – $4.7k |
| 25 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 5 | $4.8k | $4.5k | $2.4k | 53% | 4–40 | $891 – $8.2k |
← Payers reporting HCPCS C1900 · Snapshot 20261111T120946Z-9134e7f7