Low
$0
Average
$73
Median
$42
High
$399
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
135 hospitals; the 90th percentile is 8.1× 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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164 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 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 2 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $28 | $28 | $1 | 2% | — | $27 – $28 |
| 3 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $133 | $132 | $7 | 5% | — | $123 – $140 |
| 5 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $135 | $134 | $7 | 5% | — | $125 – $142 |
| 6 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $131 | $130 | $7 | 5% | — | $121 – $138 |
| 7 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $83 | $82 | $4 | 5% | — | $76 – $87 |
| 8 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $134 | $133 | $7 | 5% | — | $124 – $141 |
| 9 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $135 | $134 | $7 | 5% | — | $125 – $142 |
| 10 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $135 | $134 | $7 | 5% | — | $125 – $142 |
| 11 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $133 | $132 | $7 | 5% | — | $123 – $140 |
| 12 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $63 | $63 | $3 | 5% | — | $58 – $66 |
| 13 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $135 | $133 | $7 | 5% | — | $124 – $142 |
| 14 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $134 | $133 | $7 | 5% | — | $124 – $141 |
| 15 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $143 | $150 | $50 | 33% | — | $66 – $212 |
| 16 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $137 | $137 | $6 | 4% | — | $130 – $143 |
| 17 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $143 | $150 | $50 | 33% | — | $66 – $212 |
| 18 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 19 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 20 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 21 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $143 | $150 | $50 | 33% | — | $66 – $212 |
| 22 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $143 | $150 | $50 | 33% | — | $66 – $212 |
| 23 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 2 | $152 | $152 | $111 | 73% | — | $40 – $263 |
| 24 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 25 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $143 | $150 | $50 | 33% | — | $66 – $212 |
← Payers reporting HCPCS L4002 · Snapshot 20261111T120946Z-9134e7f7