Low
$68
Average
$94
Median
$87
High
$134
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4 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 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 2 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Saratoga Hospital Saratoga Springs, NY facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
← Payers reporting HCPCS G0502 · Snapshot 20261113T090226Z-3ce6c0b8