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
Coretext or protext, per cc
Low
$48
Average
$2.2k
Median
$3.0k
High
$9.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 71.1× 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
33 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 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 3 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 5 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 3 | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 6 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 10 | MaineHealth Belfast, ME fee schedule · both | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 11 | MaineHealth Farmington, ME fee schedule · both | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | MaineHealth Norway, ME fee schedule · both | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 13 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 16 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | Norton Healthcare Indiana Inc Jeffersonville, IN fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 18 | Norton Kings Daughters Health Inc Madison, IN facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 19 | SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE Billings, MT facility · fee schedule · outpatient | 6 | $2.8k | $2.8k | $423 | 15% | — | $2.4k – $3.2k |
| 20 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 21 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL Butte, MT facility · fee schedule · outpatient | 5 | $3.6k | $3.6k | $120 | 3% | — | $3.5k – $3.8k |
| 22 | The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 23 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 24 | The Medical Center of Peach County Inc Byron, GA fee schedule · both | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | University Medical Center, Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
← Payers reporting HCPCS Q4246 · Snapshot 20261112T181611Z-3fa9fb76