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
HC RX IP 250 OP 636
Low
$24
Average
$8.9k
Median
$65
High
$42.1k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 916.2× 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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22 hospital rates
iThe hospitals that file a Excellus 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 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $34 | $49 | $22 | 44% | — | $34 – $80 |
| 2 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $23.7k | $30.2k | $10.1k | 33% | — | $22.5k – $44.5k |
| 3 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 6 | MVHS, Inc. Utica, NY other · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $58.1k | $58.1k | — | — | — | $58.1k – $58.1k |
| 8 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 10 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $42.1k | $42.1k | — | — | — | $42.1k – $42.1k |
| 11 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 12 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $34.4k | $34.4k | — | — | — | $34.4k – $34.4k |
| 13 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $53 | $53 | $19 | 36% | — | $34 – $72 |
| 14 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $59 | $59 | — | — | — | $59 – $59 |
| 15 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $65 | $65 | $31 | 47% | — | $34 – $95 |
| 16 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $95 | $95 | $61 | 64% | — | $34 – $156 |
| 17 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $76 | $76 | — | — | — | $76 – $76 |
| 18 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 19 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $34 | $55 | $30 | 54% | — | $34 – $97 |
| 20 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $98 | $98 | $64 | 65% | — | $34 – $163 |
| 21 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $26 | $26 | $7 | 28% | — | $18 – $33 |
| 22 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $18 | $22 | $11 | 51% | — | $11 – $38 |
← Payers reporting HCPCS J9334 · Snapshot 20261111T120946Z-9134e7f7