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
facility
Low
$72
Average
$4.6k
Median
$2.8k
High
$13.7k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 4.3× 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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16 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 Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $2.2k | $2.1k | 96% | — | $141 – $6.3k |
| 2 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $2.3k | $2.2k | 96% | — | $148 – $6.6k |
| 3 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $2.1k | $1.9k | $1.0k | 56% | — | $470 – $3.0k |
| 4 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 6 | Northwest Sahurita Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 7 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 8 | Page Hospital Page, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $2.8k | $2.7k | 96% | — | $182 – $8.1k |
| 9 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 10 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 11 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · outpatientfrom % of charges | 1 | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 12 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $73 | $72 | $2 | 3% | — | $69 – $74 |
| 13 | USA Health Children's & Women's Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6.7k | $6.7k | $278 | 4% | — | $6.5k – $7.3k |
| 14 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6.7k | $6.7k | $278 | 4% | — | $6.5k – $7.3k |
| 15 | University Hospitals Health System Geneva, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
← Payers reporting HCPCS C2629 · Snapshot 20261111T120946Z-9134e7f7