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
HC 2301 HI ACT 6.1-10.0 MCI EACH
Low
$0
Average
$411
Median
$228
High
$3.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
321 hospitals; the 90th percentile is 5.3× 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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380 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $199 | $211 | $100 | 47% | 276 | $32 – $362 |
| 2 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $247 | $267 | $34 | 13% | 104 | $193 – $305 |
| 3 | Mayo Clinic Rochester, MN facility · other · both | 3 | $196 | $194 | $2 | 1% | 90 | $190 – $196 |
| 4 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $417 | $425 | $145 | 34% | 2–20 | $267 – $597 |
| 5 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $417 | $425 | $145 | 34% | 2–20 | $267 – $597 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $2.0k | $2.6k | $944 | 37% | — | $1.6k – $3.7k |
| 7 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 8 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 9 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 11 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 13 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 14 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 15 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 16 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 4 | $319 | $272 | $161 | 59% | — | $14 – $570 |
| 17 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $753 | $753 | $53 | 7% | — | $700 – $806 |
| 18 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $753 | $753 | $53 | 7% | — | $700 – $806 |
| 19 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $237 | $243 | $12 | 5% | — | $232 – $263 |
| 20 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 4 | $234 | $240 | $12 | 5% | — | $229 – $260 |
| 21 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $163 | $163 | — | — | — | $163 – $163 |
| 22 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $163 | $163 | — | — | — | $163 – $163 |
| 23 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $163 | $163 | — | — | — | $163 – $163 |
| 24 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $37 | $90 | 240% | — | $0 – $258 |
| 25 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $174 | $174 | — | — | — | $174 – $174 |
← Payers reporting HCPCS C2634 · Snapshot 20261111T120946Z-9134e7f7