LOCAL CASE-30905
Low
$68
Average
$109
Median
$111
High
$145
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Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN | $133 | $119 | $24 | 20% | — | $91 – $145 |
| 2 | MVHS, Inc. Utica, NY | $69 | $68 | $11 | 17% | — | $4 – $94 |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 | $103 | $103 | — | — | — | $103 – $103 |
| 4 | Mayo Clinic Arizona Phoenix, AZ | $145 | $145 | — | — | — | $145 – $145 |
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