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
REVASC LITHOTRIP TIBI/PERONE
Low
$3.4k
Average
$25.5k
Median
$25.2k
High
$49.8k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 7.0× 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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40 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 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 4 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 5 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $22.8k | $22.3k | $826 | 4% | — | $20.8k – $22.8k |
| 7 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $22.8k | $22.3k | $826 | 4% | — | $20.8k – $22.8k |
| 8 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $46.6k | $46.6k | — | — | — | $46.6k – $46.6k |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $25.5k | $25.2k | $9.6k | 38% | — | $13.2k – $36.8k |
| 11 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 3 | $25.5k | $25.2k | $9.6k | 38% | — | $13.2k – $36.8k |
| 12 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $40.6k | $37.6k | $11.7k | 31% | — | $18.6k – $50.5k |
| 13 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 3 | $43.2k | $34.9k | $15.1k | 43% | — | $13.6k – $47.7k |
| 14 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 3 | $29.5k | $25.3k | $8.8k | 35% | — | $13.0k – $33.4k |
| 15 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $40.6k | $37.6k | $11.7k | 31% | — | $18.6k – $50.5k |
| 16 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $35.0k | $35.0k | — | — | — | $35.0k – $35.0k |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 19 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $41.5k | $41.5k | — | — | — | $41.5k – $41.5k |
| 20 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $41.5k | $41.5k | — | — | — | $41.5k – $41.5k |
| 21 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $41.5k | $41.5k | — | — | — | $41.5k – $41.5k |
| 22 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $40.6k | $37.6k | $11.7k | 31% | — | $18.6k – $50.5k |
| 23 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $28.9k | $26.3k | $4.4k | 17% | — | $18.6k – $28.9k |
| 24 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $40.6k | $37.6k | $11.7k | 31% | — | $18.6k – $50.5k |
| 25 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $32.0k | $28.5k | $6.0k | 21% | — | $18.1k – $32.0k |
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