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
facility
Low
$0
Average
$385
Median
$1
High
$35.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
581 hospitals; the 90th percentile is 122.5× 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.
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730 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 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $68 | $201 | $311 | 155% | 26 | $2 – $941 |
| 2 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $2 | $23 | $42 | 181% | 10–100 | $2 – $113 |
| 3 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $83 | $245 | $384 | 156% | 7–70 | $2 – $1.3k |
| 4 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges | 5 | $43 | $117 | $184 | 158% | 7–70 | $1 – $600 |
| 5 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $43 | $135 | $210 | 156% | 7–70 | $1 – $732 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $211 | $327 | 155% | 7–70 | $2 – $987 |
| 7 | ST JOSEPH'S HOSPITAL AND HEALTH CENTER Dickinson, ND fee schedule · outpatient | 3 | $2 | $2 | $1 | 72% | 2–20 | $0 – $4 |
| 8 | San Bernardino County Redlands, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | $8 | 98% | 2–20 | $0 – $17 |
| 9 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $156 | $215 | 138% | 1–10 | $5 – $537 |
| 11 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $156 | $215 | 138% | 1–10 | $5 – $537 |
| 12 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 18 | $4 | $4 | $1 | 18% | 1–10 | $3 – $5 |
| 13 | Saint Luke’s South Hospital, Inc Leawood, KS percent of total billed charges · bothfrom % of charges | 18 | $5 | $4 | $1 | 17% | 1–10 | $3 – $5 |
| 14 | Southeastern Regional Medical Center, Inc. Newnan, GA percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 9 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 9 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 18 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $0 | $0 | $0 | 8% | — | $0 – $0 |
| 25 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $0 | $0 | $0 | 8% | — | $0 – $0 |
← Payers reporting HCPCS Q0169 · Snapshot 20261111T120946Z-9134e7f7