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
$301
Median
$168
High
$8.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
356 hospitals; the 90th percentile is 35.5× 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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416 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 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $357 | $321 | $164 | 51% | 350 | $38 – $525 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $103 | $118 | $81 | 69% | 312 | $18 – $371 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $909 | $864 | $151 | 17% | 312 | $623 – $1.0k |
| 4 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $390 | $449 | $283 | 63% | 262 | $44 – $885 |
| 5 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $163 | $160 | $8 | 5% | 211–274 | $130 – $163 |
| 6 | North Memorial Health Care Robbinsdale, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $39 | $59 | $24 | 40% | 176 | $39 – $88 |
| 7 | Maple Grove Hospital Corporation Grove, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $83 | $89 | $46 | 52% | 104 | $39 – $184 |
| 8 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $9 | $4 | 46% | 97 | $3 – $12 |
| 9 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $172 | $195 | $134 | 69% | 81 | $31 – $611 |
| 10 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $129 | $207 | $236 | 114% | 80–215 | $8 – $784 |
| 11 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $9 | $5 | 48% | 79 | $3 – $13 |
| 12 | NYU Langone Mineola, NY percent of total billed charges · outpatientfrom % of charges | 50 | $163 | $160 | $8 | 5% | 77–140 | $130 – $163 |
| 13 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $5 | $5 | — | — | 70–700 | $5 – $5 |
| 14 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $11 | $2 | 15% | 68 | $9 – $13 |
| 15 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · both | 3 | $81 | $92 | $22 | 24% | 66–75 | $72 – $122 |
| 16 | NYU Langone Brooklyn, NY percent of total billed charges · outpatientfrom % of charges | 50 | $154 | $152 | $8 | 5% | 65–119 | $124 – $154 |
| 17 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $174 | $171 | $113 | 66% | 56–560 | $32 – $495 |
| 18 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $10 | $4 | 40% | 52–70 | $4 – $12 |
| 19 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $12 | $1 | 9% | 31–40 | $11 – $13 |
| 20 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $303 | $358 | $273 | 76% | 28–46 | $43 – $1.1k |
| 21 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $303 | $358 | $273 | 76% | 28–46 | $43 – $1.1k |
| 22 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $15 | $12 | $4 | 37% | 27–36 | $6 – $15 |
| 23 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $18 | $10 | 53% | 26–44 | $4 – $25 |
| 24 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 4 | $119 | $166 | $100 | 60% | 23 | $34 – $353 |
| 25 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 4 | $71 | $97 | $67 | 69% | 21–57 | $16 – $255 |
← Payers reporting HCPCS J3535 · Snapshot 20261111T120946Z-9134e7f7