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
SIMPLE RPR SUPRFCL WND SCLP/NK/AX/GN/TRK/EXT 2.5CM/LS-CAC
Low
$37
Average
$1.9k
Median
$371
High
$1704.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1959 hospitals; the 90th percentile is 17.7× 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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3,764 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $333 | $431 | $226 | 52% | 120 | $242 – $869 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $316 | $408 | $214 | 52% | 120 | $229 – $823 |
| 3 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · percent of total billed charges · outpatientfrom % of charges | 8 | $911 | $981 | $355 | 36% | 94–130 | $441 – $1.5k |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $382 | $374 | $76 | 20% | 74–83 | $277 – $464 |
| 5 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $238 | $341 | $190 | 56% | 46 | $218 – $671 |
| 6 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $231 | $401 | $246 | 62% | 44–80 | $222 – $749 |
| 7 | Phoenix Children's Hospital Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $388 | $388 | $90 | 23% | 41 | $299 – $478 |
| 8 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | 40 | $1.2k – $1.2k |
| 9 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 4 | $207 | $219 | $20 | 9% | 35–62 | $207 – $254 |
| 10 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $622 | $622 | — | — | 27 | $622 – $622 |
| 11 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $263 | $280 | $51 | 18% | 26 | $233 – $361 |
| 12 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $151 | $154 | $13 | 9% | 26–35 | $146 – $180 |
| 13 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $52.9k | $52.9k | — | — | 22 | $52.9k – $52.9k |
| 14 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $493 | $591 | $154 | 26% | 21–30 | $471 – $809 |
| 15 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $590 | $590 | — | — | 21 | $590 – $590 |
| 16 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $169 | $148 | 88% | 20 | $63 – $379 |
| 17 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $119 | $119 | — | — | 20 | $119 – $119 |
| 18 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $185 | $185 | $78 | 42% | 20 | $107 – $262 |
| 19 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $396 | $125 | 31% | 20 | $338 – $923 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $53 | $69 | $36 | 52% | 20–38 | $30 – $142 |
| 21 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $317 | $317 | $10 | 3% | 20–29 | $307 – $327 |
| 22 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $317 | $317 | $10 | 3% | 20–29 | $307 – $327 |
| 23 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 5 | $343 | $330 | $83 | 25% | 19–91 | $198 – $457 |
| 24 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $134 | $659 | $1.4k | 206% | 18–27 | $68 – $4.4k |
| 25 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $47 | $47 | — | — | 18 | $47 – $47 |
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