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.
Generation details were not recorded for this description.
Original text from hospital filings
Conformity Evaluation
Low
$25
Average
$131
Median
$130
High
$681
Each hospital's average First Health rate, under the methodology and billing class chosen below.
78 hospitals; the 90th percentile is 3.1× 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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119 hospital rates
iThe hospitals that file a First Health 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $140 | $140 | $22 | 16% | — | $118 – $162 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | $22 | 16% | — | $118 – $162 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 4 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 5 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 7 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | $16 | 10% | — | $138 – $169 |
| 8 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 9 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 10 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 11 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 12 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 13 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 14 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 15 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 16 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 17 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 18 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 19 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 20 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 21 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 22 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 23 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 25 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
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