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
$9
Average
$9.1k
Median
$409
High
$29.1k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 2767.8× 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.
Filter by billing methodology
Filter by billing class
26 hospital rates
iThe hospitals that file a Highmark 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 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 2 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $409 | $409 | — | — | — | $409 – $409 |
| 3 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $409 | $409 | — | — | — | $409 – $409 |
| 4 | Temple Health - Chestnut Hill Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 5 | Temple University Hospital - Episcopal Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 6 | Temple University Hospital - Fox Chase Campus East Norriton, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 7 | Temple University Hospital - Jeanes Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 8 | Temple University Hospital - Northeastern Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 9 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 10 | Temple Women & Families Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29.1k | $29.1k | $413 | 1% | — | $28.7k – $29.5k |
| 11 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 2 | $432 | $432 | $23 | 5% | — | $409 – $455 |
| 12 | UPMC Altoona Altoona, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | UPMC Bedford Everett, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $15 | $14 | $2 | 14% | — | $11 – $15 |
| 14 | UPMC Cole Coudersport, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $517 | $472 | $147 | 31% | — | $227 – $622 |
| 15 | UPMC East Monroeville, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $402 | $449 | $146 | 33% | — | $359 – $803 |
| 16 | UPMC Hamot Erie, PA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $467 | $531 | $116 | 22% | — | $458 – $732 |
| 17 | UPMC Horizon - Greenville Farrell, PA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $241 | $241 | $5 | 2% | — | $236 – $246 |
| 18 | UPMC Jameson New Castle, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $0 | 1% | — | $10 – $10 |
| 19 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $15 | $16 | $4 | 28% | — | $10 – $25 |
| 20 | UPMC McKeesport Mckeesport, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $12 | $12 | $0 | 3% | — | $11 – $12 |
| 21 | UPMC Mercy Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $10 | $11 | $0 | 4% | — | $10 – $11 |
| 22 | UPMC Northwest Seneca, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $12 | $1 | 8% | — | $11 – $13 |
| 23 | UPMC Passavant - McCandless Cranberry Township, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $301 | $368 | $102 | 28% | — | $301 – $602 |
| 24 | UPMC Presbyterian Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $11 | $13 | $4 | 30% | — | $11 – $22 |
| 25 | UPMC St Margaret Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $85 | $94 | $31 | 33% | — | $76 – $169 |
← Payers reporting HCPCS Q3025 · Snapshot 20261113T090226Z-3ce6c0b8