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
Aac non-electronic board
Low
$0
Average
$139
Median
$121
High
$458
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 926.2× 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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25 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 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $218 | $216 | $11 | 5% | — | $201 – $229 |
| 3 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $221 | $219 | $12 | 5% | — | $204 – $233 |
| 4 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $214 | $212 | $11 | 5% | — | $198 – $225 |
| 5 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $135 | $134 | $7 | 5% | — | $125 – $142 |
| 6 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $219 | $217 | $11 | 5% | — | $202 – $230 |
| 7 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $220 | $219 | $12 | 5% | — | $204 – $232 |
| 8 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $220 | $219 | $12 | 5% | — | $204 – $232 |
| 9 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $217 | $215 | $11 | 5% | — | $201 – $228 |
| 10 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $103 | $102 | $5 | 5% | — | $95 – $108 |
| 11 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $220 | $218 | $11 | 5% | — | $203 – $231 |
| 12 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $219 | $217 | $11 | 5% | — | $202 – $230 |
| 13 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 14 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $500 | $458 | $59 | 13% | — | $375 – $500 |
| 15 | Edward Hospital Plainfield, IL fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 16 | Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 17 | Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient | 3 | $171 | $172 | $11 | 7% | — | $158 – $186 |
| 18 | LaSalle Parish Hospital Service District No. 1 Olla, LA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Northwest Community Hospital Arlington Heights, IL fee schedule · outpatient | 2 | $69 | $69 | $4 | 6% | — | $65 – $74 |
| 20 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Swedish Covenant Health Chicago, IL fee schedule · outpatient | 2 | $93 | $93 | $5 | 5% | — | $88 – $98 |
| 22 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | Thibodaux Regional Medical Center Thibodaux, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Trinity Medical Center Rock Island, IL case rate · outpatient | 2 | $146 | $146 | — | — | — | $146 – $146 |
| 25 | Trinity Medical Center Rock Island, IL fee schedule · both | 2 | $45 | $45 | $4 | 9% | — | $41 – $49 |
← Payers reporting HCPCS E1902 · Snapshot 20261113T090226Z-3ce6c0b8