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
Exc Bgn Les Trk/Arm/Leg 0.5/<
Low
$0
Average
$2.7k
Median
$879
High
$1933.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1739 hospitals; the 90th percentile is 15.6× 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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3,057 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 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $662 | $662 | — | — | 11 | $662 – $662 |
| 2 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $416 | $424 | $142 | 33% | 10–100 | $240 – $661 |
| 3 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | 5–50 | $0 – $0 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $553 | $572 | $282 | 49% | 4–40 | $273 – $911 |
| 5 | University of Virginia Culpeper Medical Center Culpeper, VA percent of total billed charges · bothfrom % of charges | 1 | $332 | $4.9k | $6.5k | 133% | 3–30 | $214 – $14.0k |
| 6 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $426 | $320 | $150 | 47% | 3–30 | $107 – $426 |
| 7 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · outpatient | 1 | $328 | $328 | — | — | 2–20 | $328 – $328 |
| 8 | Brigham and Women's Hospital Boston, MA other · both | 1 | $861 | $861 | — | — | 2–20 | $861 – $861 |
| 9 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $571 | $571 | $21 | 4% | 2–20 | $550 – $592 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $512 | $512 | $331 | 65% | 2–20 | $182 – $843 |
| 11 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL case rate · outpatient | 1 | $2.7k | $2.7k | — | — | 2–20 | $2.7k – $2.7k |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $494 | 32% | 1–10 | $1.1k – $2.0k |
| 13 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 14 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.0k | $1.2k | $363 | 29% | 1–10 | $929 – $1.7k |
| 16 | Cocke County HMA, LLC Newport, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.1k | $9.1k | — | — | 1–10 | $9.1k – $9.1k |
| 17 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $1.4k | $1.4k | $73 | 5% | 1–10 | $1.3k – $1.5k |
| 18 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 19 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $4.8k | $4.8k | $124 | 3% | 1–10 | $4.7k – $5.0k |
| 20 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | 1–10 | $205 – $205 |
| 21 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 6 | $1.4k | $1.8k | $2.6k | 148% | 1–10 | $736 – $14.5k |
| 22 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 6 | $1.2k | $1.3k | $275 | 21% | 1–10 | $929 – $1.8k |
| 23 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $328 | $332 | $9 | 3% | 1–10 | $328 – $350 |
| 24 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 2 | $6.5k | $6.4k | $428 | 7% | 1–10 | $5.8k – $6.9k |
| 25 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 2 | $6.5k | $6.3k | $306 | 5% | 1–10 | $5.8k – $6.5k |
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