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
INTERFYL; 1 MG
Low
$10
Average
$633
Median
$33
High
$7.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 179.0× 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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81 hospital rates
iThe hospitals that file a Anthem 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 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $13 | $13 | $2 | 12% | — | $12 – $15 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $10 | $11 | $1 | 8% | — | $10 – $12 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $5.8k | $5.4k | $869 | 16% | — | $4.2k – $6.3k |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $5.3k | $4.8k | $1.5k | 31% | — | $2.5k – $6.3k |
| 5 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 6 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $5.4k | $5.3k | $714 | 13% | — | $4.4k – $6.1k |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 3 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Bridgton Hospital Bridgton, ME fee schedule · outpatient | 4 | $55 | $53 | $5 | 9% | — | $44 – $55 |
| 10 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 12 | $12 | $28 | $28 | 101% | — | $12 – $109 |
| 11 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 3 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 13 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 3 | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 15 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI fee schedule · outpatient | 2 | $34 | $34 | $19 | 57% | — | $14 – $53 |
| 16 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 3 | $32 | $32 | — | — | — | $32 – $32 |
| 17 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · inpatient | 2 | $3.0k | $3.0k | $1.5k | 50% | — | $1.5k – $4.4k |
| 18 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 5 | $283 | $1.3k | $1.6k | 124% | — | $170 – $4.4k |
| 19 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 5 | $50 | $42 | $26 | 62% | — | $12 – $75 |
| 20 | DIGNITY HEALTH Carmichael, CA fee schedule · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 4 | $83 | $426 | $609 | 143% | — | $55 – $1.5k |
| 22 | DIGNITY HEALTH Folsom, CA fee schedule · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 4 | $53 | $406 | $621 | 153% | — | $35 – $1.5k |
| 24 | DIGNITY HEALTH Sacramento, CA fee schedule · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 4 | $150 | $470 | $584 | 124% | — | $98 – $1.5k |
← Payers reporting HCPCS Q4171 · Snapshot 20261111T120946Z-9134e7f7