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
HC Hfo W/O Jnt Prefab Custom by Expertise Tier1
Low
$11
Average
$84
Median
$84
High
$343
Each hospital's average Regence rate, under the methodology and billing class chosen below.
91 hospitals; the 90th percentile is 3.6× 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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146 hospital rates
iThe hospitals that file a Regence 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $20 | $22 | $4 | 18% | 58–67 | $18 – $28 |
| 2 | Peace Harbor Medical Center Florence, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $11 | $10 | $2 | 17% | — | $8 – $13 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · outpatientfrom % of charges | 4 | $11 | $11 | $2 | 18% | — | $8 – $13 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · inpatientfrom % of charges | 4 | $11 | $10 | $2 | 17% | — | $8 – $13 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · outpatientfrom % of charges | 4 | $11 | $11 | $2 | 18% | — | $8 – $13 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · inpatientfrom % of charges | 4 | $11 | $10 | $2 | 17% | — | $8 – $13 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · outpatientfrom % of charges | 4 | $11 | $11 | $2 | 18% | — | $8 – $13 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 5 | $11 | $11 | $2 | 17% | — | $8 – $13 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · outpatientfrom % of charges | 5 | $12 | $11 | $2 | 17% | — | $8 – $13 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $11 | $10 | $2 | 17% | — | $8 – $13 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · outpatientfrom % of charges | 4 | $11 | $11 | $2 | 18% | — | $8 – $13 |
| 14 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $114 | $114 | $48 | 42% | — | $66 – $162 |
| 15 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $71 | $65 | $39 | 60% | — | $18 – $103 |
| 16 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 17 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 18 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 19 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 20 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 21 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 22 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 23 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 5 | $93 | $97 | $8 | 8% | — | $90 – $109 |
| 24 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 25 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
← Payers reporting HCPCS L3923 · Snapshot 20261111T120946Z-9134e7f7