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
PC TL REV OF/THRU CABG; EA ADD BR SUBTEND BP GFT
Low
$0
Average
$12.2k
Median
$6.8k
High
$54.5k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 1293650.0× 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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14 hospital rates
iThe hospitals that file a Premera 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 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 3 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $54.5k | $54.5k | — | — | — | $54.5k – $54.5k |
| 5 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 8 | Samaritan Hospital Troy, NY facility · other · both | 1 | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 9 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 12 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | St Peters Hospital Albany, NY facility · other · both | 1 | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 14 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
← Payers reporting HCPCS C9605 · Snapshot 20261111T120946Z-9134e7f7