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 Mra Low Extrem W & W/O-Cms
Low
$302
Average
$1.2k
Median
$1.1k
High
$4.1k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 6.3× 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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29 hospital rates
iThe hospitals that file a Premera 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 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 2 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $4.7k | $4.6k | $172 | 4% | — | $4.3k – $4.7k |
| 3 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 4 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 5 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $847 | $1.1k | $399 | 35% | — | $847 – $1.7k |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $926 | $926 | — | — | — | $926 – $926 |
| 8 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 10 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 11 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 12 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 13 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 14 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 15 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $1.0k | $931 | $139 | 15% | — | $690 – $1.0k |
| 16 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 17 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $1.1k | $1.0k | $194 | 19% | — | $670 – $1.1k |
| 18 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $1.0k | $926 | $159 | 17% | — | $651 – $1.0k |
| 19 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $1.3k | $1.3k | $41 | 3% | — | $1.2k – $1.3k |
| 20 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 21 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 24 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.6k | $322 | 20% | — | $1.4k – $2.0k |
← Payers reporting HCPCS C8914 · Snapshot 20261111T120946Z-9134e7f7