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 Lesn Bgn Trunk/Arm/Leg 1.1-2.0
Low
$0
Average
$1.7k
Median
$925
High
$45.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1846 hospitals; the 90th percentile is 12.5× 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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3,317 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $1.2k | $235 | 20% | 58 | $857 – $1.4k |
| 2 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $383 | $383 | $189 | 49% | 16–52 | $194 – $572 |
| 3 | Samaritan Medical Center Watertown, NY professional · other · both | 2 | $383 | $383 | $189 | 49% | 16–52 | $194 – $572 |
| 4 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 2 | $6.5k | $6.4k | $428 | 7% | 15 | $5.8k – $6.9k |
| 5 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 2 | $6.5k | $6.3k | $306 | 5% | 15 | $5.8k – $6.5k |
| 6 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 2 | $6.5k | $6.3k | $306 | 5% | 15 | $5.8k – $6.5k |
| 7 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 2 | $6.5k | $6.3k | $306 | 5% | 15 | $5.8k – $6.5k |
| 8 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.6k | $294 | 18% | 14 | $1.3k – $2.1k |
| 9 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $1.4k | $1.4k | $208 | 15% | 13 | $1.0k – $1.6k |
| 10 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 13 | $1.2k – $1.2k |
| 11 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $464 | $696 | $361 | 52% | 12–120 | $464 – $1.6k |
| 12 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 5 | $51 | $71 | $37 | 52% | 6–60 | $40 – $129 |
| 13 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 4 | $1.3k | $1.2k | $207 | 17% | 6–60 | $812 – $1.3k |
| 14 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | 5–50 | $57 – $57 |
| 15 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $396 | $357 | $93 | 26% | 5–50 | $172 – $410 |
| 16 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $785 | $1.0k | $532 | 52% | 4–40 | $571 – $2.0k |
| 17 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $744 | $962 | $504 | 52% | 4–40 | $541 – $1.9k |
| 18 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 5 | $53 | $86 | $46 | 53% | 4–40 | $30 – $147 |
| 19 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $683 | $2.6k | $3.4k | 129% | 4–40 | $662 – $8.6k |
| 20 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 3–30 | $2.8k – $2.8k |
| 21 | 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 | — | — | 3–30 | $2.7k – $2.7k |
| 22 | ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Litchfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 3–30 | $1.1k – $1.1k |
| 23 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $710 | $710 | — | — | 3–30 | $710 – $710 |
| 24 | Barnes Jewish St. Peters Hospital St. Peters, MO other · outpatient | 2 | $709 | $709 | — | — | 2–20 | $709 – $709 |
| 25 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 2 | $116 | $116 | — | — | 2–20 | $116 – $116 |
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