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
PR Visit Annual Well W/ Ppps Subsequent Visit
Low
$0
Average
$209
Median
$153
High
$1.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
276 hospitals; the 90th percentile is 2.9× 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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502 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 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $106 | $115 | $42 | 36% | 2,152–2,188 | $64 – $170 |
| 2 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 5 | $226 | $193 | $39 | 20% | 1,084–1,156 | $143 – $226 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 466–511 | $331 – $331 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 293–347 | $331 – $331 |
| 5 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $285 | $285 | — | — | 133–151 | $285 – $285 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 2 | $128 | $128 | $1 | 1% | 53–71 | $128 – $130 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $177 | $151 | $33 | 22% | 2–20 | $110 – $177 |
| 8 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 9 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $145 | $145 | — | — | 1–10 | $145 – $145 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $148 | $145 | $4 | 3% | 1–10 | $140 – $148 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $177 | $151 | $33 | 22% | 1–10 | $110 – $177 |
| 12 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 1–10 | $285 – $285 |
| 13 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $120 | $135 | $53 | 39% | 1–10 | $68 – $208 |
| 14 | Wayne County Hospital Monticello, KY percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $217 | $222 | $42 | 19% | — | $173 – $275 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $301 | $295 | $138 | 47% | — | $132 – $432 |
| 20 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 21 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $159 | $118 | $64 | 54% | — | $27 – $167 |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $255 | $255 | $42 | 16% | — | $214 – $297 |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $211 | $212 | $73 | 35% | — | $122 – $302 |
| 24 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 25 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $149 | $149 | $29 | 19% | — | $120 – $178 |
← Payers reporting HCPCS G0439 · Snapshot 20261111T120946Z-9134e7f7