Low
$160
Average
$194
Median
$176
High
$254
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 1.4× 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.
Filter by billing methodology
Filter by billing class
5 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 | Newport Hospital Newport, RI facility · fee schedule · outpatient | 3 | $179 | $176 | $5 | 3% | — | $170 – $179 |
| 2 | Rhode Island Hospital Providence, RI facility · fee schedule · outpatient | 4 | $174 | $160 | $28 | 17% | — | $113 – $179 |
| 3 | Saratoga Hospital Saratoga Springs, NY facility · fee schedule · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 4 | The Miriam Hospital Providence, RI facility · fee schedule · outpatient | 3 | $179 | $176 | $5 | 3% | — | $170 – $179 |
| 5 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 4 | $197 | $202 | $8 | 4% | — | $197 – $216 |
← Payers reporting HCPCS C9484 · Snapshot 20261111T120946Z-9134e7f7