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
Fee Schedule
Low
$361
Average
$652
Median
$610
High
$1.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 2.7× 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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8 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 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 2 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 3 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 4 | Bronson South Haven Hospital South Haven, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 5 | Newport Hospital Newport, RI facility · fee schedule · outpatient | 3 | $961 | $944 | $24 | 3% | — | $910 – $961 |
| 6 | Rhode Island Hospital Providence, RI facility · fee schedule · outpatient | 4 | $936 | $860 | $148 | 17% | — | $606 – $961 |
| 7 | The Miriam Hospital Providence, RI facility · fee schedule · outpatient | 3 | $961 | $944 | $24 | 3% | — | $910 – $961 |
| 8 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 4 | $1.0k | $1.0k | $27 | 3% | — | $1.0k – $1.1k |
← Payers reporting HCPCS Q9984 · Snapshot 20261113T090226Z-3ce6c0b8