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
MAINTENANCE 5% WL FROM BASELINE WEIGHT IN MONTHS 7-12
Low
$0
Average
$17
Median
$9
High
$60
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 5.6× 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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10 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 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 23 | $5 | $9 | $5 | 62% | — | $4 – $16 |
| 2 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL professional · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Memorial Herman Surgical Hospital First Colony Sugar Land, TX fee schedule · outpatient | 4 | $7 | $6 | $1 | 17% | — | $4 – $7 |
| 6 | Memorial Herman Surgical Hospital Kingwood Kingwood, TX fee schedule · outpatient | 4 | $7 | $6 | $1 | 17% | — | $4 – $7 |
| 7 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 8 | St Joseph Mercy Chelsea Chelsea, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 9 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 3 | $60 | $60 | — | — | — | $60 – $60 |
| 10 | Thibodaux Regional Medical Center Thibodaux, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS G9888 · Snapshot 20261111T120946Z-9134e7f7