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
Lso sag-coronal panel custom
Low
$3
Average
$3.9k
Median
$3.3k
High
$9.1k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
113 hospitals; the 90th percentile is 5.0× 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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170 hospital rates
iThe hospitals that file a MultiPlan 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 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 2 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 11 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 12 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 13 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · inpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $3k | $3k | — | — | — | $3k – $3k |
| 18 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · inpatientfrom % of charges | 2 | $2.5k | $2.5k | $40 | 2% | — | $2.4k – $2.5k |
| 19 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · outpatientfrom % of charges | 2 | $2.5k | $2.5k | $40 | 2% | — | $2.4k – $2.5k |
| 20 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 21 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 22 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 23 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $901 | $901 | — | — | — | $901 – $901 |
| 24 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $901 | $901 | — | — | — | $901 – $901 |
| 25 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
← Payers reporting HCPCS L0638 · Snapshot 20261112T181611Z-3fa9fb76