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.
Generation details were not recorded for this description.
Original text from hospital filings
PR Extraction
Low
$23
Average
$1.4k
Median
$219
High
$27.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1288 hospitals; the 90th percentile is 47.8× 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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2,022 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 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $78 | $78 | — | — | 18 | $78 – $78 |
| 2 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $78 | $78 | — | — | 18 | $78 – $78 |
| 3 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $70 | $71 | $2 | 3% | 3–30 | $68 – $74 |
| 4 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 5 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $262 | $262 | — | — | 1–10 | $262 – $262 |
| 6 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $349 | $349 | — | — | 1–10 | $349 – $349 |
| 7 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $334 | $334 | — | — | 1–10 | $334 – $334 |
| 8 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $238 | $241 | $6 | 3% | 1–10 | $238 – $254 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $52 | $65 | $20 | 31% | 1–10 | $36 – $88 |
| 10 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 2 | $441 | $441 | $87 | 20% | 1–10 | $355 – $528 |
| 11 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $447 | $459 | $74 | 16% | 1–10 | $373 – $596 |
| 12 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 16 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $95 | $95 | $53 | 56% | — | $42 – $147 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $151 | $199 | $104 | 52% | — | $113 – $400 |
| 20 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $9.9k | $10.5k | $1.1k | 10% | — | $9.7k – $12.0k |
| 21 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 22 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 10 | $128 | $157 | $63 | 40% | — | $86 – $260 |
| 23 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $112 | $141 | $71 | 50% | — | $51 – $251 |
| 25 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $199 | $234 | $190 | 81% | — | $20 – $482 |
← Payers reporting CPT 10040 · Snapshot 20261112T181611Z-3fa9fb76