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
HC VISIT TO DETERM LDCT ELIG
Low
$15
Average
$134
Median
$103
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
570 hospitals; the 90th percentile is 5.8× 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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812 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 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $78 | $78 | $33 | 43% | 40 | $44 – $111 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $50 | $37 | $15 | 41% | 34–61 | $15 – $50 |
| 3 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 1 | $108 | $108 | — | — | 33 | $108 – $108 |
| 4 | ROBERT PACKER HOSPITAL Sayre, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | — | — | 23 | $7 – $7 |
| 5 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $28 | $28 | $2 | 9% | 20–47 | $25 – $33 |
| 6 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 1 | $80 | $80 | $34 | 43% | 18 | $46 – $115 |
| 7 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $154 | $154 | $1 | 0% | 14 | $154 – $155 |
| 8 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $31 | $31 | — | — | 5–50 | $31 – $31 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 3 | $44 | $38 | $8 | 21% | 5–50 | $27 – $44 |
| 10 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $44 | $38 | $8 | 21% | 4–40 | $27 – $44 |
| 11 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $41 | $41 | — | — | 4–40 | $41 – $41 |
| 12 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $132 | $133 | $4 | 3% | 3–30 | $129 – $143 |
| 13 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 5 | $50 | $37 | $15 | 41% | 3–30 | $15 – $50 |
| 14 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $327 | $327 | — | — | 2–20 | $327 – $327 |
| 15 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 2 | $68 | $52 | $22 | 41% | 2–20 | $23 – $68 |
| 16 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | 2–20 | $72 – $72 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | 2–20 | $118 – $118 |
| 18 | Carle BroMenn Medical Center Normal, IL other · outpatient | 1 | $133 | $133 | — | — | 1–10 | $133 – $133 |
| 19 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $123 | $129 | $11 | 8% | 1–10 | $123 – $148 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 21 | Mercy Health Saint Marys Rockford, MI facility · other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 22 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 23 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 2 | $236 | $210 | $37 | 18% | 1–10 | $157 – $236 |
| 24 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $61 | $61 | $3 | 5% | — | $58 – $64 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7