Low
$173
Average
$176
Median
$173
High
$182
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3 hospital rates
iThe hospitals that file a Highmark 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 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $173 | $173 | — | — | — | $173 – $173 |
| 2 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $173 | $173 | — | — | — | $173 – $173 |
| 3 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 2 | $182 | $182 | $10 | 5% | — | $173 – $192 |
← Payers reporting HCPCS C9484 · Snapshot 20261111T120946Z-9134e7f7