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
Unrelat prac follow up visit
Low
$0
Average
$27
Median
$27
High
$69
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
140 hospitals; the 90th percentile is 5.1× 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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152 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $12 | $11 | $2 | 21% | — | $8 – $13 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $12 | $11 | $2 | 21% | — | $8 – $13 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 5 | $12 | $13 | $5 | 41% | — | $8 – $22 |
| 4 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $26 | $26 | $9 | 37% | — | $16 – $35 |
| 11 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 12 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | Corewell Health Farmington Hills Hospital Farmington Hills, MI facility · fee schedule · outpatient | 2 | $52 | $52 | — | — | — | $52 – $52 |
| 18 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 3 | $16 | $13 | $4 | 27% | — | $8 – $16 |
| 23 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 4 | $10 | $10 | $2 | 24% | — | $8 – $13 |
| 25 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX fee schedule · outpatient | 5 | $30 | $27 | $4 | 13% | — | $21 – $30 |
← Payers reporting HCPCS G0559 · Snapshot 20261112T124536Z-e251e855