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 Mal Sclp/Hnd/Gen >4.0cm
Low
$1
Average
$3.8k
Median
$3.1k
High
$31.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1537 hospitals; the 90th percentile is 13.4× 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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2,503 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 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $4.8k | $4.6k | $432 | 9% | 4–40 | $4.0k – $5.2k |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $2.7k | $3.1k | $872 | 28% | 4–40 | $2.4k – $4.6k |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | $1.9k | 65% | 2–20 | $1.1k – $4.9k |
| 4 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $2.6k | $2.6k | — | — | 2–20 | $2.6k – $2.6k |
| 5 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $20.4k | $20.5k | $692 | 3% | 2–20 | $19.5k – $21.6k |
| 6 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | $1.1k | 59% | 2–20 | $755 – $2.9k |
| 7 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $2.8k | $2.1k | $1.2k | 58% | 2–20 | $0 – $2.9k |
| 8 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 9 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 10 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 11 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN case rate · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 12 | MVHS, Inc. Utica, NY other · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 13 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 14 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 15 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 16 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 17 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 18 | Pitt County Memorial Hospital, Inc. Greenville, NC other · both | 2 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 19 | Pitt County Memorial Hospital, Inc. Washington, NC other · both | 2 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 20 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $3.1k | $3.1k | $1.9k | 61% | 1–10 | $1.2k – $4.9k |
| 21 | Roswell Hospital Corporation Roswell, NM facility · other · outpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 22 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 23 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · outpatient | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 25 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
← Payers reporting CPT 11626 · Snapshot 20261112T124536Z-e251e855