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
Plt, aph/pher, l/r, cmv-neg
Low
$70
Average
$779
Median
$500
High
$4.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
399 hospitals; the 90th percentile is 7.5× 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.
Filter by billing methodology
Filter by billing class
523 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $962 | $1.2k | $460 | 37% | — | $802 – $1.8k |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 6 | $355 | $401 | $231 | 58% | — | $148 – $732 |
| 4 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 5 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.4k | $71 | 5% | — | $1.3k – $1.5k |
| 7 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.4k | $68 | 5% | — | $1.3k – $1.5k |
| 8 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.3k | $70 | 5% | — | $1.3k – $1.4k |
| 9 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.4k | $77 | 6% | — | $1.3k – $1.5k |
| 10 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.4k | $1.4k | $58 | 4% | — | $1.3k – $1.5k |
| 11 | Advocate Good Shepherd Hospital Barrington, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.4k | $1.4k | $59 | 4% | — | $1.3k – $1.5k |
| 12 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.4k | $1.4k | $59 | 4% | — | $1.3k – $1.5k |
| 13 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.4k | $67 | 5% | — | $1.3k – $1.5k |
| 14 | Advocate Sherman Hospital Elgin, IL percent of total billed charges · outpatientfrom % of charges | 4 | $623 | $766 | $220 | 29% | — | $548 – $1.0k |
| 15 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.5k | $183 | 12% | — | $1.3k – $1.7k |
| 16 | Advocate Trinity Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $1.3k | $54 | 4% | — | $1.2k – $1.4k |
| 17 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 18 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $538 | $564 | $188 | 33% | — | $247 – $797 |
| 19 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 20 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $512 | $512 | $23 | 4% | — | $490 – $535 |
| 21 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 22 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $538 | $564 | $188 | 33% | — | $247 – $797 |
| 23 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 24 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $259 | $259 | — | — | — | $259 – $259 |
← Payers reporting HCPCS P9055 · Snapshot 20261111T120946Z-9134e7f7