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
Description Not Available
Low
$0
Average
$1.5k
Median
$53
High
$3.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 3272.9× 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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28 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $40 | $52 | $19 | 37% | — | $34 – $76 |
| 2 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 4 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $62 | $53 | $13 | 26% | — | $34 – $62 |
| 7 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 9 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 10 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 12 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 14 | Essentia Health Virginia 901 9th St N Virginia, MN facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 15 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 2 | $3.4k | $3.4k | $30 | 1% | — | $3.4k – $3.4k |
| 16 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $4.0k | $3.5k | $769 | 22% | — | $2.5k – $4.1k |
| 17 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 18 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 20 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | Kettering Medical Center Troy, OH fee schedule · outpatient | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Saratoga Hospital Saratoga Springs, NY facility · case rate · outpatient | 3 | $67 | $57 | $14 | 26% | — | $36 – $67 |
← Payers reporting HCPCS S3722 · Snapshot 20261112T181611Z-3fa9fb76