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
Fee Schedule
Low
$362
Average
$2.9k
Median
$1.8k
High
$18.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 9.3× 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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70 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $727 | $940 | $347 | 37% | — | $606 – $1.4k |
| 2 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $650 | $650 | $46 | 7% | — | $604 – $696 |
| 3 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $650 | $650 | $46 | 7% | — | $604 – $696 |
| 4 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Bexar County Hospital District San Antonio, TX case rate · outpatient | 2 | $595 | $595 | $15 | 2% | — | $580 – $609 |
| 6 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 2 | $1.5k | $1.5k | $169 | 11% | — | $1.4k – $1.7k |
| 7 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $1.1k | $949 | $243 | 26% | — | $606 – $1.1k |
| 8 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $919 | $900 | $112 | 12% | — | $740 – $1.0k |
| 9 | Duncan Regional Hospital Duncan, OK case rate · outpatient | 5 | $867 | $995 | $183 | 18% | — | $824 – $1.3k |
| 10 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 11 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 3 | $4.2k | $4.4k | $498 | 11% | — | $4.0k – $5.1k |
| 12 | Jefferson County Hospital OK Waurika, OK case rate · outpatient | 5 | $867 | $995 | $183 | 18% | — | $824 – $1.3k |
| 13 | Kadlec Regional Medical Center Kennewick, WA fee schedule · outpatient | 2 | $1.5k | $1.5k | $21 | 1% | — | $1.5k – $1.5k |
| 14 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 3 | $3.4k | $3.2k | $473 | 15% | — | $2.5k – $3.6k |
| 15 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA case rate · outpatient | 2 | $13.9k | $13.9k | $2.5k | 18% | — | $11.4k – $16.3k |
| 16 | Legacy Emanuel Medical Center Portland, OR fee schedule · outpatient | 3 | $1.9k | $1.8k | $280 | 16% | — | $1.4k – $2.0k |
| 17 | Legacy Good Samaritan Medical Center Portland, OR fee schedule · outpatient | 3 | $1.9k | $1.8k | $280 | 16% | — | $1.4k – $2.0k |
| 18 | Legacy Meridian Park Medical Center Tualatin, OR fee schedule · outpatient | 3 | $1.9k | $1.8k | $280 | 16% | — | $1.4k – $2.0k |
| 19 | Legacy Mount Hood Medical Center Gresham, OR fee schedule · outpatient | 3 | $1.9k | $1.8k | $280 | 16% | — | $1.4k – $2.0k |
| 20 | Legacy Salmon Creek Medical Center Vancouver, WA fee schedule · outpatient | 3 | $1.9k | $1.8k | $280 | 16% | — | $1.4k – $2.0k |
| 21 | Legacy Silverton Medical Center Silverton, OR fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Long Beach Memorial Medical Center Long Beach, CA fee schedule · outpatient | 5 | $5.4k | $5.4k | $850 | 16% | — | $4.2k – $6.8k |
| 23 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 4 | $919 | $900 | $112 | 12% | — | $740 – $1.0k |
| 24 | MemorialCare Miller Children's & Women's Hospital Long Beach Long Beach, CA fee schedule · outpatient | 5 | $5.4k | $5.4k | $850 | 16% | — | $4.2k – $6.8k |
| 25 | MemorialCare Orange Coast Medical Center Fountain Valley, CA fee schedule · outpatient | 5 | $4.4k | $4.5k | $479 | 11% | — | $4.0k – $5.3k |
← Payers reporting HCPCS C9787 · Snapshot 20261112T181611Z-3fa9fb76