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
PR ANESTH KIDNEY STONE DESTR WO H2O BATH
Low
$1
Average
$487
Median
$38
High
$8.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
139 hospitals; the 90th percentile is 22.3× 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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173 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Lafayette County Darlington, WI professional · other · both | 1 | $160 | $160 | — | — | 1–10 | $160 – $160 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 3 | Acadia Hospital Bangor, ME professional · other · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 4 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 4 | $251 | $293 | $83 | 28% | — | $235 – $436 |
| 5 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · inpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $78 | $27 | 35% | — | $51 – $105 |
| 7 | Black River Health Inc Black River Falls, WI professional · fee schedule · outpatient | 1 | $11 | $12 | $4 | 31% | — | $8 – $18 |
| 8 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 9 | Blessing Care Corporation Pittsfield, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Blue Hill Memorial Hospital Hill, ME professional · other · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 13 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 14 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 15 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 19 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 20 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 4 | $54 | $55 | $39 | 72% | — | $10 – $101 |
| 21 | Charles A. Dean Memorial Hospital Greenville, ME professional · other · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 22 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · inpatient | 4 | $42 | $40 | $24 | 60% | — | $11 – $63 |
| 23 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · outpatient | 4 | $42 | $40 | $24 | 60% | — | $11 – $63 |
| 24 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · inpatient | 4 | $42 | $40 | $24 | 60% | — | $11 – $63 |
| 25 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · outpatient | 4 | $42 | $40 | $24 | 60% | — | $11 – $63 |
← Payers reporting CPT 00873 · Snapshot 20261113T090226Z-3ce6c0b8