Low
$21
Average
$56
Median
$38
High
$136
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 3.8× 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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5 hospital rates
iThe hospitals that file a Excellus 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 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 2 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $7 | $21 | $24 | 115% | — | $7 – $63 |
| 3 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 5 | $35 | $36 | $24 | 69% | — | $8 – $63 |
| 5 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | $7 | 14% | — | $44 – $58 |
← Payers reporting HCPCS V5275 · Snapshot 20261111T120946Z-9134e7f7