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
$10
Average
$521
Median
$461
High
$2.0k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
67 hospitals; the 90th percentile is 70.5× 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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98 hospital rates
iThe hospitals that file a Highmark 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 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 4 | $404 | $394 | $105 | 27% | 6–60 | $269 – $500 |
| 2 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $456 | $456 | — | — | 1–10 | $456 – $456 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $389 | $389 | — | — | — | $389 – $389 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $436 | $487 | $140 | 29% | — | $228 – $781 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $798 | $791 | $242 | 31% | — | $462 – $1.1k |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $389 | $389 | — | — | — | $389 – $389 |
| 8 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $433 | $480 | $131 | 27% | — | $228 – $744 |
| 9 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $500 | $500 | — | — | — | $500 – $500 |
| 10 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 2 | $495 | $480 | $21 | 4% | — | $450 – $495 |
| 11 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $495 | $480 | $21 | 4% | — | $450 – $495 |
| 12 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 7 | $2.1k | $1.4k | $802 | 58% | — | $313 – $2.1k |
| 13 | Chilton Medical Center Pompton Plains, NJ fee schedule · both | 2 | $495 | $480 | $21 | 4% | — | $450 – $495 |
| 14 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $495 | $480 | $21 | 4% | — | $450 – $495 |
| 15 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $497 | $497 | $2 | 0% | — | $495 – $500 |
| 16 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $626 | $694 | $246 | 35% | — | $467 – $1.1k |
| 17 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $587 | $587 | — | — | — | $587 – $587 |
| 18 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 19 | Ephrata Community Hospital Ephrata, PA fee schedule · outpatient | 8 | $1.7k | $1.3k | $668 | 51% | — | $313 – $2.2k |
| 20 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $389 | $389 | — | — | — | $389 – $389 |
| 21 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $436 | $598 | $286 | 48% | — | $378 – $1.1k |
| 22 | Gettysburg Hospital Gettysburg, PA fee schedule · outpatient | 8 | $1.7k | $1.5k | $847 | 58% | — | $313 – $2.8k |
| 23 | Good Samaritan Hospital Lebanon, PA fee schedule · outpatient | 6 | $1.1k | $1.0k | $516 | 52% | — | $313 – $1.7k |
| 24 | Hackettstown Medical Center Hackettstown, NJ fee schedule · both | 2 | $495 | $480 | $21 | 4% | — | $450 – $495 |
| 25 | Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient | 2 | $495 | $480 | $21 | 4% | — | $450 – $495 |
← Payers reporting HCPCS L3906 · Snapshot 20261111T120946Z-9134e7f7