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.
Generation details were not recorded for this description.
Original text from hospital filings
FERN TEST NONL
Low
$1
Average
$24
Median
$13
High
$982
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
746 hospitals; the 90th percentile is 4.4× 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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896 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 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $34 | $38 | $19 | 49% | 70–79 | $10 – $68 |
| 2 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 5 | $34 | $38 | $19 | 49% | 57 | $10 – $68 |
| 3 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $7 | $7 | $1 | 7% | 54 | $6 – $8 |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $33 | $29 | $9 | 31% | 26–35 | $7 – $34 |
| 5 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $23 | $18 | $6 | 35% | 19–55 | $10 – $23 |
| 6 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $46 | $42 | $17 | 40% | 14 | $10 – $55 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $5 | $4 | $1 | 17% | 4–40 | $3 – $5 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $4 | $4 | $1 | 18% | 4–40 | $3 – $5 |
| 9 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $30 | $38 | $15 | 39% | 2–20 | $25 – $58 |
| 10 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $30 | $38 | $15 | 39% | 2–20 | $25 – $58 |
| 11 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $48 | $0 | 1% | 1–10 | $47 – $48 |
| 12 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 13 | Desert Valley Hospital Victorville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 14 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 15 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $48 | $49 | $2 | 4% | 1–10 | $46 – $52 |
| 16 | Northfield Hospital Northfield, MN other · both | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 17 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $10 | $10 | $1 | 6% | 1–10 | $10 – $11 |
| 18 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $10 | $10 | $1 | 6% | 1–10 | $10 – $11 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $73 | $95 | $35 | 37% | — | $61 – $137 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 7 | $10 | $14 | $7 | 48% | — | $10 – $25 |
| 21 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $13 | $13 | $3 | 25% | — | $10 – $16 |
| 24 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $13 | $13 | $3 | 25% | — | $10 – $16 |
| 25 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q0114 · Snapshot 20261111T120946Z-9134e7f7