Low
$348
Average
$399
Median
$425
High
$425
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3 hospital rates
iThe hospitals that file a Carefirst 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 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $348 | $348 | $17 | 5% | — | $331 – $364 |
| 2 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $425 | $425 | — | — | — | $425 – $425 |
| 3 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $425 | $425 | — | — | — | $425 – $425 |
← Payers reporting HCPCS G0033 · Snapshot 20261113T090226Z-3ce6c0b8