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
facility
Low
$0
Average
$238
Median
$4
High
$17.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
493 hospitals; the 90th percentile is 50.7× 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.
Filter by billing methodology
Filter by billing class
619 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 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | $1 | 6% | 800 | $21 – $24 |
| 2 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | 261 | $333 – $333 |
| 3 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 4 | $5 | $5 | $0 | 8% | 193–202 | $5 – $5 |
| 4 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $85 | $85 | $7 | 8% | 100 | $74 – $97 |
| 5 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $231 | $231 | — | — | 24 | $231 – $231 |
| 6 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $0 | 6% | 6–60 | $2 – $2 |
| 7 | ST HELENA HOSPITAL Vallejo, CA percent of total billed charges · outpatientfrom % of charges | 3 | $46 | $46 | $8 | 18% | 6–60 | $37 – $55 |
| 8 | Buchanan County Health Center Independence, IA facility · other · outpatient | 2 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 9 | Kaweah Health Medical Center Visalia, CA facility · other · outpatient | 2 | $31 | $27 | $13 | 48% | 2–20 | $9 – $42 |
| 10 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $64 | $64 | $1 | 2% | 2–20 | $63 – $65 |
| 11 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 12 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 2 | $44 | $44 | $7 | 17% | — | $36 – $51 |
| 14 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $16 | $28 | $18 | 66% | — | $11 – $58 |
| 16 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 3 | $2 | $3 | $0 | 14% | — | $2 – $3 |
| 17 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 3 | $2 | $3 | $0 | 14% | — | $2 – $3 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 9 | $8 | $8 | $2 | 26% | — | $6 – $10 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 9 | $9 | $9 | $2 | 26% | — | $7 – $12 |
| 20 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $192 | $192 | $5 | 3% | — | $187 – $196 |
| 21 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $187 | $170 | $31 | 18% | — | $126 – $196 |
| 22 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 23 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $192 | $192 | $5 | 3% | — | $187 – $196 |
| 24 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $192 | $192 | $5 | 3% | — | $187 – $196 |
| 25 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 2 | $192 | $192 | $5 | 3% | — | $187 – $196 |
← Payers reporting HCPCS J0689 · Snapshot 20261111T120946Z-9134e7f7