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
facility
Low
$5
Average
$920
Median
$86
High
$27.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1621 hospitals; the 90th percentile is 91.3× 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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2,908 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 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $143 | $143 | $78 | 54% | 28 | $65 – $220 |
| 2 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $59 | $69 | $19 | 28% | 4–40 | $57 – $102 |
| 3 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $110 | $110 | — | — | 3–30 | $110 – $110 |
| 4 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $6 | $7 | $0 | 3% | 3–30 | $6 – $7 |
| 5 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | $64 | 74% | 2–20 | $22 – $151 |
| 6 | MaineHealth Belfast, ME percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $31 | $16 | 52% | 2–20 | $13 – $56 |
| 7 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 2–20 | $47 – $47 |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $170 | $166 | $34 | 20% | 2–20 | $123 – $206 |
| 9 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · outpatientfrom % of charges | 5 | $116 | $120 | $43 | 36% | 2–20 | $52 – $176 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 11 | Grant Memorial Hospital Inc Petersburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 12 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $143 | $143 | $78 | 54% | 1–10 | $65 – $220 |
| 13 | MaineHealth Damariscotta, ME percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | $24 | 41% | 1–10 | $35 – $83 |
| 14 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | $0 | 2% | 1–10 | $17 – $18 |
| 15 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 5 | $7 | $10 | $5 | 46% | 1–10 | $6 – $18 |
| 17 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 18 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 21 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
← Payers reporting CPT 11719 · Snapshot 20261111T120946Z-9134e7f7