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 2d Tte W or W/O Fol W/Contrast, F/U
Low
$153
Average
$370
Median
$357
High
$1.1k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
249 hospitals; the 90th percentile is 1.2× 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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256 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 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $359 | $359 | — | — | 26 | $359 – $359 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $366 | $366 | — | — | 1–10 | $366 – $366 |
| 3 | METHODIST SOUTH HOSPITAL MEMPHIS, TN other · both | 1 | $337 | $337 | — | — | 1–10 | $337 – $337 |
| 4 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 6 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 7 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 8 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 9 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 10 | Adventhealth Sebring Sebring, FL fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 11 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 12 | Alton Memorial Hospital Alton, IL other · both | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 13 | Banner Baywood Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 14 | Banner Boswell Medical Center Sun City, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 15 | Banner Casa Grande Medical Center Casa Grande, AZ facility · fee schedule · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 16 | Banner Del E Webb Medical Center Sun City West, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 17 | Banner Desert Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 18 | Banner Estrella Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 19 | Banner Fort Collins Medical Center Fort Collins, CO facility · fee schedule · outpatient | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 20 | Banner Gateway Medical Center Gilbert, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 21 | Banner Goldfield Medical Center Apache Junction, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 22 | Banner Heart Hospital Mesa, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 23 | Banner Ironwood Medical Center San Tan Valley, AZ facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 24 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 25 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $377 | $377 | — | — | — | $377 – $377 |
← Payers reporting HCPCS C8924 · Snapshot 20261111T120946Z-9134e7f7