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.
Generation details were not recorded for this description.
Original text from hospital filings
Fee Schedule
Low
$67
Average
$148
Median
$143
High
$278
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 2.2× 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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57 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $160 | $206 | $76 | 37% | — | $133 – $299 |
| 2 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $134 | $134 | $9 | 7% | — | $125 – $143 |
| 3 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $134 | $134 | $9 | 7% | — | $125 – $143 |
| 4 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $142 | $141 | $7 | 5% | — | $132 – $150 |
| 5 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $144 | $143 | $8 | 5% | — | $133 – $152 |
| 6 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $140 | $139 | $7 | 5% | — | $129 – $147 |
| 7 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $88 | $87 | $5 | 5% | — | $81 – $93 |
| 8 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $143 | $142 | $7 | 5% | — | $132 – $150 |
| 9 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $144 | $143 | $8 | 5% | — | $133 – $151 |
| 10 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $144 | $143 | $8 | 5% | — | $133 – $151 |
| 11 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $142 | $141 | $7 | 5% | — | $131 – $149 |
| 12 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $67 | $67 | $4 | 5% | — | $62 – $71 |
| 13 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $143 | $142 | $7 | 5% | — | $133 – $151 |
| 14 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $143 | $142 | $7 | 5% | — | $132 – $150 |
| 15 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 16 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $246 | $208 | $53 | 26% | — | $133 – $246 |
| 17 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $121 | $121 | $1 | 0% | — | $121 – $122 |
| 18 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 19 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 20 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 21 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 3 | $278 | $278 | — | — | — | $278 – $278 |
| 22 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 5 | $239 | $210 | $35 | 17% | — | $164 – $239 |
| 23 | Long Beach Memorial Medical Center Long Beach, CA fee schedule · outpatient | 5 | $158 | $158 | — | — | — | $158 – $158 |
| 24 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 4 | $121 | $121 | $1 | 0% | — | $121 – $122 |
| 25 | MemorialCare Miller Children's & Women's Hospital Long Beach Long Beach, CA fee schedule · outpatient | 5 | $158 | $158 | — | — | — | $158 – $158 |
← Payers reporting HCPCS J7303 · Snapshot 20261112T181611Z-3fa9fb76