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
Q0163
Low
$0
Average
$25
Median
$0
High
$763
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 167.8× 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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33 hospital rates
iThe hospitals that file a Excellus 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 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 10 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 16 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $1 | 33% | — | $2 – $3 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | St. James Hospital Hornell, NY fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q0163 · Snapshot 20261111T120946Z-9134e7f7