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
Outpatient Services: CPT/HCPCS
Low
$31
Average
$53
Median
$46
High
$155
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 1.7× 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 | $155 | $155 | $11 | 7% | — | $144 – $166 |
| 2 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $155 | $155 | $11 | 7% | — | $144 – $166 |
| 3 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 2 | $108 | $108 | $25 | 23% | — | $83 – $134 |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 6 | GLENS FALLS HOSPITAL INC Falls, NY facility · fee schedule · outpatient | 3 | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 3 | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Legacy Emanuel Medical Center Portland, OR fee schedule · outpatient | 3 | $54 | $53 | $4 | 7% | — | $48 – $56 |
| 9 | Legacy Good Samaritan Medical Center Portland, OR fee schedule · outpatient | 3 | $54 | $53 | $4 | 7% | — | $48 – $56 |
| 10 | Legacy Meridian Park Medical Center Tualatin, OR fee schedule · outpatient | 3 | $54 | $53 | $4 | 7% | — | $48 – $56 |
| 11 | Legacy Mount Hood Medical Center Gresham, OR fee schedule · outpatient | 3 | $54 | $53 | $4 | 7% | — | $48 – $56 |
| 12 | Legacy Salmon Creek Medical Center Vancouver, WA fee schedule · outpatient | 3 | $54 | $53 | $4 | 7% | — | $48 – $56 |
| 13 | Legacy Silverton Medical Center Silverton, OR fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 14 | MUSC Health Black River Medical Center Cades, SC facility · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | MUSC Health Columbia Medical Center Northeast Columbia, SC facility · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 16 | MUSC Health Florence Medical Center Florence, SC facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | MUSC Health Marion Medical Center Mullins, SC facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | MUSC Lancaster Medical Center Lancaster, SC facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 19 | Musc Health Columbia Medical Center Downtown Columbia, SC facility · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 20 | NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 21 | Northern Cochise Community Hospital Willcox, AZ facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 22 | Overlake Medical Center & Clinics Bellevue, WA fee schedule · outpatient | 3 | $99 | $100 | $9 | 9% | — | $89 – $110 |
| 23 | Providence Health And Services - Washington Walla Walla, WA fee schedule · outpatient | 2 | $47 | $47 | $9 | 20% | — | $38 – $56 |
| 24 | Providence Health And Services - Washington Centralia, WA fee schedule · outpatient | 2 | $47 | $47 | $9 | 20% | — | $38 – $56 |
| 25 | Providence Health And Services - Washington Spokane, WA fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
← Payers reporting HCPCS C9171 · Snapshot 20261113T090226Z-3ce6c0b8