Low
$246
Average
$411
Median
$411
High
$576
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2 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 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 2 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $246 | $246 | — | — | — | $246 – $246 |
← Payers reporting HCPCS G0456 · Snapshot 20261112T181611Z-3fa9fb76