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
Init bk ptb plaster direct
Low
$411
Average
$5.2k
Median
$3.0k
High
$16.8k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 21.7× 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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19 hospital rates
iThe hospitals that file a MultiPlan 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $17.4k | $16.8k | $1.7k | 10% | — | $14.4k – $18.5k |
| 7 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 3 | $17.4k | $16.8k | $1.7k | 10% | — | $14.4k – $18.5k |
| 8 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 3 | $17.4k | $16.8k | $1.7k | 10% | — | $14.4k – $18.5k |
| 9 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 10 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 2 | $411 | $411 | $26 | 6% | — | $386 – $437 |
| 13 | ST.DAVIDS SURGICAL HOSPITAL Austin, TX percent of total billed charges · outpatientfrom % of charges | 2 | $411 | $411 | $26 | 6% | — | $386 – $437 |
| 14 | UCHealth Estes Valley Medical Center Estes Park, CO fee schedule · both | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 16 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 17 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 19 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
← Payers reporting HCPCS L5500 · Snapshot 20261112T181611Z-3fa9fb76