Low
$28
Average
$148
Median
$116
High
$763
Each hospital's average Premera rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 5.4× 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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31 hospital rates
iThe hospitals that file a Premera 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 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $101 | $112 | $76 | 67% | — | $4 – $348 |
| 2 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $135 | $155 | $101 | 65% | — | $5 – $451 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $117 | $84 | 72% | — | $4 – $376 |
| 5 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $101 | $74 | 73% | — | $3 – $333 |
| 6 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $231 | $280 | $208 | 74% | — | $9 – $917 |
| 7 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $74 | $54 | 73% | — | $2 – $244 |
| 8 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $109 | $130 | $95 | 73% | — | $4 – $427 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $88 | $53 | 60% | — | $3 – $242 |
| 10 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $61 | $74 | $53 | 72% | — | $2 – $241 |
| 11 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $101 | $121 | $88 | 73% | — | $4 – $397 |
| 12 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $101 | $121 | $88 | 73% | — | $4 – $397 |
| 13 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $101 | $121 | $88 | 73% | — | $4 – $397 |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $101 | $121 | $88 | 73% | — | $4 – $397 |
| 15 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $234 | $280 | $202 | 72% | — | $9 – $917 |
| 16 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $122 | $70 | 58% | — | $59 – $285 |
| 17 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $61 | $73 | $54 | 73% | — | $2 – $241 |
| 18 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 2 | $264 | $452 | $355 | 78% | — | $156 – $1.2k |
| 19 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $125 | $143 | $92 | 64% | — | $7 – $410 |
| 20 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $102 | $116 | $74 | 64% | — | $6 – $333 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $102 | $116 | $74 | 64% | — | $6 – $333 |
| 22 | Saint Francis Hospital and Medical Center Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $28 | $20 | 73% | — | $1 – $92 |
| 23 | Saint Marys Hospital Waterbury, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $38 | $28 | 73% | — | $1 – $125 |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $53 | $35 | 65% | — | $1 – $150 |
| 25 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $52 | $36 | 69% | — | $1 – $155 |
← Payers reporting HCPCS Q4110 · Snapshot 20261111T120946Z-9134e7f7