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
Fee Schedule
Low
$36
Average
$145
Median
$62
High
$541
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 8.0× 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 Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 8 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 9 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 11 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 12 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 13 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 5 | $251 | $251 | — | — | — | $251 – $251 |
| 16 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 17 | Renown Regional Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $197 | $192 | $32 | 17% | — | $151 – $229 |
| 18 | Renown South Meadows Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $197 | $192 | $32 | 17% | — | $151 – $229 |
| 19 | SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE Billings, MT facility · fee schedule · outpatient | 6 | $541 | $470 | $99 | 21% | — | $330 – $541 |
| 20 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL Butte, MT facility · fee schedule · outpatient | 5 | $541 | $541 | — | — | — | $541 – $541 |
| 21 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · case rate · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 22 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
← Payers reporting HCPCS K0553 · Snapshot 20261112T181611Z-3fa9fb76