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
Br-Hmii Belt Modular Lrg
Low
$1
Average
$510
Median
$243
High
$8.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
472 hospitals; the 90th percentile is 5.3× 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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584 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 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 2 | $585 | $585 | $175 | 30% | 28–280 | $410 – $760 |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $670 | $1.7k | $3.8k | 230% | 13–130 | $79 – $20.6k |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $670 | $1.7k | $3.8k | 230% | 13–130 | $79 – $20.6k |
| 4 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 21 | $459 | $566 | $218 | 38% | 5–50 | $273 – $948 |
| 5 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $696 | $696 | — | — | 4–40 | $696 – $696 |
| 6 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $631 | $619 | $17 | 3% | 3–30 | $594 – $631 |
| 7 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $803 | $868 | $111 | 13% | 2–20 | $626 – $990 |
| 8 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 50 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 9 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $621 | $688 | $188 | 27% | 1–10 | $499 – $945 |
| 10 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $621 | $688 | $188 | 27% | 1–10 | $499 – $945 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 12 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 13 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 6 | $1.2k | $1.1k | $354 | 33% | — | $526 – $1.5k |
| 14 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $210 | $210 | $3 | 1% | — | $207 – $213 |
| 15 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $318 | $328 | $17 | 5% | — | $312 – $357 |
| 16 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $681 | $675 | $36 | 5% | — | $629 – $717 |
| 17 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $312 | $321 | $17 | 5% | — | $306 – $349 |
| 18 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $416 | $412 | $22 | 5% | — | $384 – $437 |
| 19 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $674 | $669 | $35 | 5% | — | $624 – $710 |
| 20 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $679 | $674 | $36 | 5% | — | $628 – $714 |
| 21 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $679 | $674 | $36 | 5% | — | $628 – $714 |
| 22 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $668 | $663 | $35 | 5% | — | $618 – $703 |
| 23 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $317 | $315 | $17 | 5% | — | $294 – $334 |
| 24 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $677 | $672 | $35 | 5% | — | $626 – $712 |
| 25 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $674 | $669 | $35 | 5% | — | $624 – $710 |
← Payers reporting HCPCS Q0499 · Snapshot 20261111T120946Z-9134e7f7