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
Fee Schedule
Low
$13
Average
$373
Median
$83
High
$2.2k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 52.2× 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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17 hospital rates
iThe hospitals that file a MultiPlan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $92 | $115 | $48 | 42% | — | $73 – $213 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $115 | $48 | 42% | — | $73 – $213 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | $1 | 9% | — | $14 – $17 |
| 8 | Holy Name Teaneck, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $217 | $288 | $244 | 85% | — | $31 – $1.1k |
| 9 | Holy Name Teaneck, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $179 | $227 | $188 | 83% | — | $30 – $756 |
| 10 | San Bernardino County Redlands, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 11 | San Bernardino County Redlands, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 12 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | UCHMHS Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $658 | $658 | — | — | — | $658 – $658 |
| 15 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $658 | $658 | — | — | — | $658 – $658 |
| 16 | UCHMHS Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $658 | $658 | — | — | — | $658 – $658 |
| 17 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $658 | $658 | — | — | — | $658 – $658 |
← Payers reporting HCPCS J0886 · Snapshot 20261113T090226Z-3ce6c0b8