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
$0
Average
$333
Median
$375
High
$1.9k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
122 hospitals; the 90th percentile is 18.0× 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.
Filter by billing methodology
Filter by billing class
128 hospital rates
iThe hospitals that file a Medicare 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 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA other · both | 1 | $1.5k | $1.5k | — | — | 4–40 | $1.5k – $1.5k |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 3 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 4 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 5 | Tufts Medical Center BOSTON, MA other · both | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $189 | $189 | $37 | 20% | — | $151 – $226 |
| 8 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 9 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 10 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 11 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $82 | $144 | $124 | 86% | — | $47 – $392 |
| 12 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 13 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 14 | Allina Health Systems Faribualt, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 15 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 16 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 17 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $95 | $155 | $123 | 79% | — | $54 – $392 |
| 18 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 19 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 20 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 21 | Benefis Senior Services Great Falls, MT fee schedule · outpatient | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 22 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $454 | $454 | — | — | — | $454 – $454 |
| 23 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $454 | $454 | — | — | — | $454 – $454 |
| 24 | Boston Medical Center Boston, MA fee schedule · both | 1 | $461 | $461 | — | — | — | $461 – $461 |
| 25 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $394 | $394 | — | — | — | $394 – $394 |
← Payers reporting HCPCS L3808 · Snapshot 20261111T120946Z-9134e7f7