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
Tte W or W/O Contr, Cont Ecg
Low
$0
Average
$1.8k
Median
$1.6k
High
$18.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
769 hospitals; the 90th percentile is 3.9× 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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1,046 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · both | 4 | $2.9k | $2.8k | $473 | 17% | 84–102 | $2.0k – $3.3k |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $2.6k | $2.6k | — | — | 81 | $2.6k – $2.6k |
| 3 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $786 | $807 | $301 | 37% | 71–98 | $283 – $1.2k |
| 4 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $786 | $807 | $301 | 37% | 70–97 | $283 – $1.2k |
| 5 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $786 | $807 | $301 | 37% | 70–97 | $283 – $1.2k |
| 6 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $786 | $807 | $301 | 37% | 69–96 | $283 – $1.2k |
| 7 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $786 | $807 | $301 | 37% | 69–96 | $283 – $1.2k |
| 8 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 6 | $868 | $2.3k | $2.1k | 89% | 60 | $868 – $5.3k |
| 9 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $54 | 5% | 55–73 | $1.1k – $1.2k |
| 10 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 6 | $5.3k | $3.8k | $2.0k | 53% | 50–68 | $931 – $5.3k |
| 11 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 7 | $935 | $2.3k | $1.6k | 70% | 44–80 | $886 – $4.2k |
| 12 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 2 | $603 | $603 | $165 | 27% | 38–47 | $438 – $768 |
| 13 | St Joseph Mercy Chelsea Chelsea, MI facility · other · both | 2 | $603 | $603 | $165 | 27% | 34–43 | $438 – $768 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · other · both | 2 | $602 | $602 | $164 | 27% | 32–41 | $438 – $765 |
| 15 | The University of Texas Medical Branch Webster, TX other · both | 1 | $787 | $787 | — | — | 31 | $787 – $787 |
| 16 | St Joseph Mercy Oakland Pontiac, MI facility · other · both | 2 | $602 | $602 | $164 | 27% | 30–39 | $438 – $765 |
| 17 | North Memorial Health Care Robbinsdale, MN facility · other · both | 2 | $811 | $811 | $12 | 1% | 25 | $799 – $823 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 1 | $830 | $830 | — | — | 25 | $830 – $830 |
| 19 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN other · both | 4 | $3.1k | $3.0k | $565 | 19% | 20–47 | $2.0k – $3.5k |
| 20 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | $7 | 0% | 18 | $1.8k – $1.8k |
| 21 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · bothfrom % of charges | 5 | $2.3k | $2.3k | $171 | 7% | 16 | $2.1k – $2.6k |
| 22 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · both | 3 | $2.6k | $2.0k | $832 | 41% | 14–23 | $868 – $2.6k |
| 23 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.9k | $1.9k | $382 | 20% | 13 | $1.5k – $2.4k |
| 24 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.9k | $1.9k | $382 | 20% | 13 | $1.5k – $2.4k |
| 25 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $855 | $855 | — | — | 12 | $855 – $855 |
← Payers reporting HCPCS C8930 · Snapshot 20261111T120946Z-9134e7f7