Low
$0
Average
$13
Median
$8
High
$36
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5 hospital rates
iThe hospitals that file a Bcbs Ca 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 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Hayward Sisters Hospital Hayward, CA facility · other · outpatient | 3 | $14 | $14 | $4 | 30% | — | $10 – $18 |
| 3 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $33 | $6 | 18% | — | $27 – $39 |
| 5 | UCLA West Valley Medical Center West Hills, CA fee schedule · outpatient | 2 | $2 | $2 | $2 | 94% | — | $0 – $3 |
← Payers reporting HCPCS J0613 · Snapshot 20261111T120946Z-9134e7f7