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
Resp Fcn/Strengh 2/> Indiv
Low
$12
Average
$123
Median
$93
High
$763
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 4.3× 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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49 hospital rates
iThe hospitals that file a Excellus 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $45 | $99 | $91 | 92% | — | $25 – $228 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $36 | $12 | 33% | — | $27 – $53 |
| 5 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $106 | $106 | $23 | 21% | — | $83 – $129 |
| 6 | Highland Hospital Rochester, NY fee schedule · outpatient | 7 | $53 | $58 | $45 | 79% | — | $20 – $158 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · outpatient | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 9 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 10 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $59 | $59 | — | — | — | $59 – $59 |
| 12 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 13 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 14 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 16 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 17 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 18 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 19 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 20 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 21 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 22 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $81 | $81 | — | — | — | $81 – $81 |
| 23 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 24 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $78 | $78 | $26 | 33% | — | $52 – $103 |
| 25 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $119 | $119 | — | — | — | $119 – $119 |
← Payers reporting HCPCS G0239 · Snapshot 20261111T120946Z-9134e7f7