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 INTER ICD SBSTRNL PROF EA 90DAYS
Low
$0
Average
$862
Median
$53
High
$27.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
156 hospitals; the 90th percentile is 31.1× 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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185 hospital rates
iThe hospitals that file a Aetna 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 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $254 | $257 | $7 | 3% | 1–10 | $254 – $270 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $530 | $563 | $72 | 13% | — | $497 – $662 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $39 | $44 | $14 | 32% | — | $31 – $68 |
| 4 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 8 | Banner North Colorado Medical Center Greeley, CO facility · per diem · outpatient | 1 | $27.1k | $27.1k | — | — | — | $27.1k – $27.1k |
| 9 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · per diem · outpatient | 1 | $27.1k | $27.1k | — | — | — | $27.1k – $27.1k |
| 10 | Banner University Medical Center Phoenix Phoenix, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 11 | Banner University Medical Center Phoenix Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 7 | $143 | $124 | $43 | 34% | — | $62 – $178 |
| 12 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · outpatientfrom % of charges | 7 | $46 | $50 | $14 | 29% | — | $33 – $72 |
| 13 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 8 | $38 | $44 | $16 | 37% | — | $21 – $72 |
| 14 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 15 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $96 | $96 | $1 | 1% | — | $95 – $97 |
| 16 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 17 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 18 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $39 | $44 | $14 | 32% | — | $31 – $68 |
| 19 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $861 | $861 | $143 | 17% | — | $718 – $1.0k |
| 20 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $37 | $47 | $15 | 32% | — | $37 – $69 |
| 21 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 22 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 23 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 24 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 25 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
← Payers reporting CPT 0578T · Snapshot 20261113T090226Z-3ce6c0b8