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
$104
Median
$14
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
699 hospitals; the 90th percentile is 557.3× 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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891 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 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $45 | $40 | $13 | 34% | 1–10 | $10 – $51 |
| 3 | Novant Health Rowan Medical Center LLC Salisbury, NC percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 4 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $13 | 50% | — | $13 – $40 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 3 | $41 | $46 | $14 | 30% | — | $32 – $65 |
| 7 | ADVENTIST HEALTH TULARE Tulare, CA case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 8 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $41 | $41 | $7 | 16% | — | $35 – $48 |
| 10 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $22 | $17 | 76% | — | $2 – $43 |
| 11 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $0 | $0 | $0 | 18% | — | $0 – $0 |
| 17 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $0 | $0 | $0 | 9% | — | $0 – $0 |
| 18 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $0 | $0 | $0 | 18% | — | $0 – $0 |
| 19 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $25 | $25 | $2 | 9% | — | $23 – $29 |
| 20 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $0 | $0 | $0 | 18% | — | $0 – $0 |
| 23 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $0 | $0 | $0 | 18% | — | $0 – $0 |
| 24 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 2 | $12 | $16 | $17 | 106% | — | $0 – $54 |
| 25 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J2290 · Snapshot 20261111T120946Z-9134e7f7