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
HB Rpr S/N/a/Gen/Trk12.6-20.0cm
Low
$1
Average
$1.2k
Median
$570
High
$409.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1917 hospitals; the 90th percentile is 9.9× 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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3,566 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 | Fairview Health Services Burnsville, MN other · inpatient | 2 | $318 | $318 | $156 | 49% | 4–40 | $162 – $474 |
| 2 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 3 | $478 | $507 | $90 | 18% | 3–30 | $397 – $655 |
| 3 | Cottage Grove Community Medical Ct Cottage Grove, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $430 | $430 | $39 | 9% | 2–20 | $390 – $469 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $135 | $135 | — | — | 2–20 | $135 – $135 |
| 5 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $110 | $110 | $49 | 44% | 2–20 | $61 – $159 |
| 6 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $162 | $162 | — | — | 2–20 | $162 – $162 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $200 | $200 | — | — | 2–20 | $200 – $200 |
| 8 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $606 | $610 | $120 | 20% | 2–20 | $489 – $738 |
| 9 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $731 | $731 | $39 | 5% | 2–20 | $692 – $770 |
| 10 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $15.0k | $15.0k | $14.1k | 94% | 2–20 | $912 – $29.1k |
| 11 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 12 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $966 | $966 | $547 | 57% | 2–20 | $420 – $1.5k |
| 13 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $248 | $248 | — | — | 2–20 | $248 – $248 |
| 14 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $248 | $248 | — | — | 2–20 | $248 – $248 |
| 15 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $816 | $816 | $62 | 8% | 2–20 | $754 – $878 |
| 16 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 17 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $428 | $428 | — | — | 1–10 | $428 – $428 |
| 18 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $285 | $356 | $207 | 58% | 1–10 | $89 – $753 |
| 19 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 2 | $248 | $170 | $96 | 56% | 1–10 | $53 – $248 |
| 20 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 1 | $230 | $230 | — | — | 1–10 | $230 – $230 |
| 21 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 3 | $238 | $302 | $90 | 30% | 1–10 | $238 – $429 |
| 22 | DIGNITY COMMUNITY CARE Woodland, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 23 | DIGNITY HEALTH Carmichael, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 24 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 25 | Fairview Health Services Burnsville, MN other · outpatient | 1 | $474 | $474 | — | — | 1–10 | $474 – $474 |
← Payers reporting CPT 12005 · Snapshot 20261112T124536Z-e251e855