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
$26
Average
$1.2k
Median
$360
High
$12.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 28.3× 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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41 hospital rates
iThe hospitals that file a Anthem 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 INIATIVES COLORADO Westminster, CO per diem · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 2 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO per diem · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO per diem · outpatient | 4 | $314 | $340 | $137 | 40% | — | $180 – $554 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 2 | $809 | $809 | $274 | 34% | — | $535 – $1.1k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 2 | $809 | $809 | $274 | 34% | — | $535 – $1.1k |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO per diem · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO per diem · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 17 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 18 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 19 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 4 | $56 | $62 | $57 | 92% | — | $6 – $156 |
| 20 | Dukes Health System LLC Peru, IN facility · other · outpatient | 1 | $88 | $88 | $78 | 88% | — | $10 – $166 |
| 21 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 3 | $28 | $27 | $2 | 8% | — | $24 – $29 |
| 22 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $24 | $6 | 25% | — | $16 – $29 |
| 23 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 24 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | $91 | 88% | — | $12 – $193 |
| 25 | LONGMONT UNITED HOSPITAL Longmont, CO per diem · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
← Payers reporting HCPCS G0365 · Snapshot 20261112T181611Z-3fa9fb76