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
Fee Schedule
Low
$0
Average
$140
Median
$23
High
$365
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 36140.3× 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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11 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 | $276 | $358 | $132 | 37% | — | $230 – $518 |
| 2 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · both | 4 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $426 | $361 | $92 | 26% | — | $230 – $426 |
| 4 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 5 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $15 | $15 | $2 | 11% | — | $13 – $17 |
| 7 | Monroe County Hospital Forsyth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $14 | $6 | 44% | — | $10 – $23 |
| 8 | Saratoga Hospital Saratoga Springs, NY facility · case rate · outpatient | 3 | $431 | $365 | $93 | 26% | — | $233 – $431 |
| 9 | United Regional Health Care System Falls, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | United Regional Health Care System Falls, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Westchester Medical Center Valhalla, NY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $15 | $15 | $2 | 11% | — | $13 – $17 |
← Payers reporting HCPCS Q0239 · Snapshot 20261112T181611Z-3fa9fb76