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
facility
Low
$0
Average
$1.2k
Median
$125
High
$38.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
877 hospitals; the 90th percentile is 72.4× 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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1,283 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Stanford Health Care Stanford, CA fee schedule · outpatient | 2 | $9.4k | $6.7k | $3.5k | 52% | 1,212 | $2.2k – $9.4k |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $5.6k | $4.6k | $1.8k | 39% | 361 | $2.0k – $6.1k |
| 3 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $118 | $116 | $6 | 5% | 186–204 | $94 – $118 |
| 4 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $3.9k | $3.9k | $1.8k | 47% | 73–91 | $2.0k – $5.8k |
| 5 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $647 | $647 | — | — | 70 | $647 – $647 |
| 6 | Parkland Health Center Farmington, MO fee schedule · both | 2 | $3.9k | $3.9k | $1.8k | 47% | 58 | $2.0k – $5.8k |
| 7 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $59 | $56 | $5 | 9% | 48 | $46 – $59 |
| 8 | John Muir Health Concord, CA fee schedule · both | 10 | $4.6k | $10.3k | $12.1k | 117% | 46–55 | $1.6k – $43.6k |
| 9 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 2 | $19 | $19 | $3 | 14% | 31 | $16 – $22 |
| 10 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $11.4k | $11.4k | $5.4k | 47% | 17–26 | $6.0k – $16.8k |
| 11 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.5k | $1.3k | 88% | 4–40 | $171 – $3.1k |
| 12 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.0k | $2.4k | 78% | 4–40 | $665 – $5.5k |
| 13 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $246 | $246 | — | — | 3–30 | $246 – $246 |
| 14 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 3 | $227 | $220 | $11 | 5% | 3–30 | $205 – $227 |
| 15 | SIERRA NEVADA MEMORIAL-MINERS HOSPITAL Grass Valley, CA fee schedule · outpatient | 3 | $109 | $109 | — | — | 3–30 | $109 – $109 |
| 16 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $138 | $1 | 1% | 2–20 | $137 – $139 |
| 17 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $246 | $246 | — | — | 1–10 | $246 – $246 |
| 18 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC other · both | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 19 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 1 | $877 | $877 | — | — | 1–10 | $877 – $877 |
| 20 | NYU Langone Mineola, NY percent of total billed charges · outpatientfrom % of charges | 50 | $118 | $116 | $6 | 5% | 1–10 | $94 – $118 |
| 21 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 22 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $10.9k | $10.9k | — | — | 1–10 | $10.9k – $10.9k |
| 23 | St Joseph Mercy Chelsea Chelsea, MI facility · other · both | 2 | $39 | $39 | $11 | 28% | 1–10 | $28 – $50 |
| 24 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · other · both | 2 | $39 | $39 | $11 | 28% | 1–10 | $28 – $50 |
| 25 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
← Payers reporting HCPCS Q5117 · Snapshot 20261111T120946Z-9134e7f7