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
$23
Average
$358
Median
$289
High
$866
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 31.6× 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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39 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 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 2 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $70 | $62 | 89% | — | $5 – $167 |
| 3 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $64 | $57 | 90% | — | $5 – $167 |
| 4 | HEART HOSP OF AUSTIN Austin, TX percent of total billed charges · outpatientfrom % of charges | 7 | $24 | $23 | $6 | 24% | — | $13 – $29 |
| 5 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 7 | $24 | $23 | $6 | 24% | — | $13 – $29 |
| 6 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 2 | $524 | $524 | $10 | 2% | — | $515 – $534 |
| 7 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 7 | $110 | $245 | $250 | 102% | — | $31 – $717 |
| 8 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 7 | $110 | $245 | $250 | 102% | — | $31 – $717 |
| 9 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX percent of total billed charges · outpatientfrom % of charges | 7 | $110 | $245 | $250 | 102% | — | $31 – $717 |
| 10 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 7 | $110 | $245 | $250 | 102% | — | $31 – $717 |
| 11 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 7 | $110 | $245 | $250 | 102% | — | $31 – $717 |
| 12 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 7 | $110 | $245 | $250 | 102% | — | $31 – $717 |
| 13 | METROPOLITAN METHODIST SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 7 | $110 | $245 | $250 | 102% | — | $31 – $717 |
| 14 | Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient | 2 | $298 | $298 | — | — | — | $298 – $298 |
| 15 | NorCal HealthConnect LLC Petaluma, CA fee schedule · outpatient | 3 | $270 | $255 | $21 | 8% | — | $225 – $270 |
| 16 | NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 17 | Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient | 1 | $494 | $494 | — | — | — | $494 – $494 |
| 18 | Providence Health System - Southern California Burbank, CA fee schedule · outpatient | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 19 | Providence Health System - Southern California Mission Hills, CA fee schedule · outpatient | 1 | $724 | $724 | — | — | — | $724 – $724 |
| 20 | Providence Health System - Southern California Torrance, CA fee schedule · outpatient | 1 | $738 | $738 | — | — | — | $738 – $738 |
| 21 | Providence Health System - Southern California San Pedro, CA fee schedule · outpatient | 1 | $769 | $769 | — | — | — | $769 – $769 |
| 22 | RESEARCH PSYCHIATRIC CENTER Kansas City, MO percent of total billed charges · outpatientfrom % of charges | 7 | $32 | $30 | $3 | 12% | — | $26 – $34 |
| 23 | Rady Children's Hospital - San Diego Murrieta, CA facility · fee schedule · outpatient | 2 | $703 | $703 | $27 | 4% | — | $675 – $730 |
| 24 | ST DAVIDS REHAB Austin, TX percent of total billed charges · outpatientfrom % of charges | 7 | $24 | $23 | $6 | 24% | — | $13 – $29 |
| 25 | ST. DAVID'S GEORGETOWN HOSPITAL Georgetown, TX percent of total billed charges · outpatientfrom % of charges | 7 | $24 | $23 | $6 | 24% | — | $13 – $29 |
← Payers reporting HCPCS J9265 · Snapshot 20261112T181611Z-3fa9fb76