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
HC Adc Daily Charge Restricted (Mdpl)
Low
$0
Average
$52
Median
$76
High
$85
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 4039.2× 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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6 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 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 2 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $103 | $75 | $48 | 64% | — | $5 – $114 |
| 4 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $85 | $85 | — | — | — | $85 – $85 |
| 5 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Thibodaux Regional Medical Center Thibodaux, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS S5102 · Snapshot 20261111T120946Z-9134e7f7