Low
$19
Average
$25
Median
$28
High
$29
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3 hospital rates
iThe hospitals that file a Medicare 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 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $32 | $29 | $6 | 22% | — | $20 – $35 |
| 2 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | $8 | 27% | — | $20 – $35 |
← Payers reporting HCPCS V5275 · Snapshot 20261111T120946Z-9134e7f7