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
PR Visit Complexity E&M Service Serious/Complex Condition
Low
$17
Average
$31
Median
$35
High
$42
Each hospital's average Premera rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 2.0× 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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46 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $32 | $32 | — | — | 359 | $32 – $32 |
| 2 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 1 | $32 | $32 | — | — | 50–59 | $32 – $32 |
| 3 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 3 | $32 | $32 | — | — | 36–45 | $32 – $32 |
| 4 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 8 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $38 | $16 | 42% | — | $18 – $57 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Mercy Fitzgerald Hospital Darby, PA professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Mercy Health Hackley Campus Muskogen, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 20 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 24 | Nazareth Hospital Philadelphia, PA professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | Plymouth Medical Center Plymouth, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
← Payers reporting HCPCS G2211 · Snapshot 20261111T120946Z-9134e7f7