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
MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO
Low
$9
Average
$189
Median
$86
High
$1.8k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 25.1× 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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34 hospital rates
iThe hospitals that file a Premera 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 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $377 | $367 | $14 | 4% | 801–828 | $343 – $377 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 12 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Public Hospital District No 4 King County WA Snoqualmie, WA fee schedule · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $199 | $199 | $147 | 74% | — | $53 – $346 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR professional · fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 23 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | Sartori Memorial Hospital Inc Cedar Falls, IA professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Sartori Memorial Hospital Inc Cedar Falls, IA professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting HCPCS G0500 · Snapshot 20261111T120946Z-9134e7f7