Low
$53
Average
$54
Median
$54
High
$55
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4 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 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 2 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · inpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
← Payers reporting HCPCS G9886 · Snapshot 20261111T120946Z-9134e7f7