Low
$104
Average
$250
Median
$252
High
$434
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 2.8× 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.
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10 hospital rates
iThe hospitals that file a Excellus 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 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 2 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $289 | $289 | $62 | 21% | — | $227 – $351 |
| 3 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $219 | $205 | $20 | 10% | — | $176 – $219 |
| 4 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 5 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 6 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $220 | $220 | — | — | — | $220 – $220 |
| 7 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $434 | $434 | $279 | 64% | — | $155 – $713 |
| 8 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $285 | $285 | — | — | — | $285 – $285 |
| 9 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 3 | $274 | $252 | $31 | 12% | — | $209 – $274 |
| 10 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $334 | $334 | $231 | 69% | — | $103 – $565 |
← Payers reporting HCPCS Q4330 · Snapshot 20261112T181611Z-3fa9fb76