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
Fee Schedule
Low
$291
Average
$32.7k
Median
$498
High
$227.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 691.8× 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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46 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 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $227.7k | $227.7k | $15.9k | 7% | — | $211.8k – $243.7k |
| 2 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $227.7k | $227.7k | $15.9k | 7% | — | $211.8k – $243.7k |
| 3 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 3 | $297 | $307 | $14 | 5% | — | $297 – $327 |
| 4 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $205.7k | $206.3k | $953 | 0% | — | $205.7k – $207.9k |
| 5 | Holy Redeemer Health System Meadowbrook, PA facility · fee schedule · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 6 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 7 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 8 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 9 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 10 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 2 | $902 | $902 | $17 | 2% | — | $885 – $919 |
| 11 | Lankenau Medical Center Wynnewood, PA facility · fee schedule · outpatient | 3 | $327 | $327 | — | — | — | $327 – $327 |
| 12 | Legacy Emanuel Medical Center Portland, OR fee schedule · outpatient | 3 | $429 | $420 | $28 | 7% | — | $382 – $450 |
| 13 | Legacy Good Samaritan Medical Center Portland, OR fee schedule · outpatient | 3 | $429 | $420 | $28 | 7% | — | $382 – $450 |
| 14 | Legacy Meridian Park Medical Center Tualatin, OR fee schedule · outpatient | 3 | $429 | $420 | $28 | 7% | — | $382 – $450 |
| 15 | Legacy Mount Hood Medical Center Gresham, OR fee schedule · outpatient | 3 | $429 | $420 | $28 | 7% | — | $382 – $450 |
| 16 | Legacy Salmon Creek Medical Center Vancouver, WA fee schedule · outpatient | 3 | $429 | $420 | $28 | 7% | — | $382 – $450 |
| 17 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 4 | $205.7k | $206.3k | $953 | 0% | — | $205.7k – $207.9k |
| 18 | Methodist Children's Hospital Lubbock, TX fee schedule · outpatient | 4 | $205.7k | $206.3k | $953 | 0% | — | $205.7k – $207.9k |
| 19 | Methodist Hospital Levelland Levelland, TX fee schedule · outpatient | 4 | $204.1k | $204.5k | $714 | 0% | — | $204.1k – $205.7k |
| 20 | Methodist Hospital Plainview Plainview, TX fee schedule · outpatient | 4 | $204.1k | $204.5k | $714 | 0% | — | $204.1k – $205.7k |
| 21 | Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient | 2 | $513 | $513 | — | — | — | $513 – $513 |
| 22 | Newport Hospital Newport, RI facility · fee schedule · outpatient | 3 | $326 | $320 | $8 | 3% | — | $308 – $326 |
| 23 | NorCal HealthConnect LLC Petaluma, CA fee schedule · outpatient | 3 | $464 | $438 | $36 | 8% | — | $387 – $464 |
| 24 | NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient | 1 | $987 | $987 | — | — | — | $987 – $987 |
| 25 | Paoli Hospital Paoli, PA facility · fee schedule · outpatient | 3 | $327 | $327 | — | — | — | $327 – $327 |
← Payers reporting HCPCS C9074 · Snapshot 20261112T181611Z-3fa9fb76