Low
$105
Average
$105
Median
$105
High
$105
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3 hospital rates
iThe hospitals that file a Bcbs Nj 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 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 2 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $143 | $143 | — | — | — | $143 – $143 |
| 3 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $73 | $66 | $20 | 31% | — | $39 – $87 |
← Payers reporting HCPCS G9874 · Snapshot 20261112T181611Z-3fa9fb76