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
$43
Average
$535
Median
$435
High
$1.0k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 4.5× 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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29 hospital rates
iThe hospitals that file a Carefirst 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 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 2 | Inova Alexandria Hospital Alexandria, VA other · both | 2 | $277 | $277 | $8 | 3% | — | $269 – $285 |
| 3 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $277 | $277 | $8 | 3% | — | $269 – $285 |
| 4 | Inova Fairfax Hospital Falls Church, VA other · both | 2 | $277 | $277 | $8 | 3% | — | $269 – $285 |
| 5 | Inova Loudoun Hospital Leesburg, VA other · both | 2 | $277 | $277 | $8 | 3% | — | $269 – $285 |
| 6 | Inova Mount Vernon Hospital Alexandria, VA other · both | 2 | $277 | $277 | $8 | 3% | — | $269 – $285 |
| 7 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 8 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 10 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $116 | 10% | — | $1.1k – $1.3k |
| 11 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 12 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 13 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $211 | $211 | $28 | 13% | — | $183 – $239 |
| 14 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 15 | Plymouth Medical Center Plymouth, IN facility · fee schedule · both | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 16 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $264 | $211 | $64 | 30% | — | $133 – $264 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $482 | $482 | — | — | — | $482 – $482 |
| 18 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $482 | $482 | — | — | — | $482 – $482 |
| 20 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $817 | $817 | — | — | — | $817 – $817 |
| 23 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $924 | $924 | — | — | — | $924 – $924 |
| 24 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 25 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
← Payers reporting HCPCS L3808 · Snapshot 20261111T120946Z-9134e7f7