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 FQHC VISIT ESTB PT
Low
$0
Average
$166
Median
$182
High
$244
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 5.5× 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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28 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $182 | $182 | — | — | — | $182 – $182 |
| 2 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $182 | $182 | — | — | — | $182 – $182 |
| 3 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $182 | $182 | — | — | — | $182 – $182 |
| 4 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 5 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $182 | $182 | — | — | — | $182 – $182 |
| 6 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 7 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $182 | $182 | — | — | — | $182 – $182 |
| 8 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 9 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 10 | Essentia Health Virginia 901 9th St N Virginia, MN facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 2 | $183 | $183 | $2 | 1% | — | $182 – $185 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $122 | $121 | $1 | 1% | — | $120 – $122 |
| 13 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 2 | $151 | $151 | $31 | 20% | — | $120 – $182 |
| 14 | Montefiore Medical Center Bronx, NY fee schedule · both | 8 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 15 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 3 | $92 | $92 | — | — | — | $92 – $92 |
| 16 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 49 | $207 | $244 | $103 | 42% | — | $98 – $397 |
| 17 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 49 | $207 | $244 | $103 | 42% | — | $98 – $397 |
| 18 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 49 | $196 | $232 | $98 | 42% | — | $92 – $377 |
| 19 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 49 | $207 | $244 | $103 | 42% | — | $98 – $397 |
| 20 | NYU Langone Hospital?Suffolk Patchogue, NY percent of total billed charges · bothfrom % of charges | 49 | $196 | $232 | $98 | 42% | — | $92 – $377 |
| 21 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 2 | $225 | $225 | $18 | 8% | — | $207 – $243 |
| 23 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 3 | $207 | $179 | $66 | 37% | — | $88 – $243 |
| 24 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 3 | $207 | $184 | $60 | 32% | — | $103 – $243 |
| 25 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 2 | $225 | $225 | $18 | 8% | — | $207 – $243 |
← Payers reporting HCPCS G0467 · Snapshot 20261111T120946Z-9134e7f7