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
facility
Low
$1
Average
$395
Median
$325
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
598 hospitals; the 90th percentile is 2.7× 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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812 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 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $28 | $11 | 39% | 5–50 | $20 – $50 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $88 | $84 | $15 | 17% | 4–40 | $61 – $98 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $88 | $84 | $15 | 17% | 4–40 | $61 – $98 |
| 4 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $159 | $177 | $48 | 27% | 3–30 | $128 – $243 |
| 5 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $159 | $177 | $48 | 27% | 3–30 | $128 – $243 |
| 6 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 50 | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 7 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $294 | $294 | — | — | 1–10 | $294 – $294 |
| 8 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges | 1 | $427 | $427 | — | — | 1–10 | $427 – $427 |
| 9 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $297 | $304 | $30 | 10% | — | $270 – $350 |
| 10 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $278 | $223 | $118 | 53% | — | $21 – $315 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $309 | $309 | — | — | — | $309 – $309 |
| 12 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 13 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $356 | $351 | $8 | 2% | — | $340 – $356 |
| 14 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $330 | $330 | $5 | 1% | — | $325 – $334 |
| 15 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $121 | $124 | $7 | 5% | — | $118 – $135 |
| 16 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $206 | $208 | $11 | 5% | — | $192 – $229 |
| 17 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $118 | $122 | $6 | 5% | — | $116 – $132 |
| 18 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 4 | $100 | $102 | $6 | 6% | — | $94 – $114 |
| 19 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 4 | $161 | $161 | $8 | 5% | — | $147 – $175 |
| 20 | Advocate Good Shepherd Hospital Barrington, IL percent of total billed charges · outpatientfrom % of charges | 4 | $205 | $203 | $8 | 4% | — | $190 – $216 |
| 21 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $113 | $117 | $10 | 9% | — | $104 – $135 |
| 22 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 4 | $202 | $204 | $11 | 5% | — | $190 – $226 |
| 23 | Advocate Sherman Hospital Elgin, IL percent of total billed charges · outpatientfrom % of charges | 4 | $161 | $220 | $84 | 38% | — | $139 – $332 |
| 24 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $1.1k | $1.1k | $56 | 5% | — | $987 – $1.1k |
| 25 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $1.1k | $1.1k | $56 | 5% | — | $983 – $1.1k |
← Payers reporting HCPCS L3702 · Snapshot 20261111T120946Z-9134e7f7