Low
$0
Average
$47
Median
$35
High
$106
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5 hospital rates
iThe hospitals that file a Bcbs Vt 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 | Central Vermont Medical Center Inc Berlin, VT facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $176 | $176 | $61 | 35% | — | $110 – $267 |
| 5 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0613 · Snapshot 20261111T120946Z-9134e7f7