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 Intmd Rpr S/a/T/Ext 2.5 Cm/<
Low
$1
Average
$794
Median
$403
High
$250.6k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
1368 hospitals; the 90th percentile is 5.4× 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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2,103 hospital rates
iThe hospitals that file a Humana 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $6.1k | $6.5k | $6.0k | 93% | 74–92 | $270 – $14.7k |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3.1k | $3.7k | $2.7k | 75% | 46 | $880 – $7.7k |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL fee schedule · outpatient | 1 | $173 | $173 | — | — | 23 | $173 – $173 |
| 4 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 1 | $891 | $891 | — | — | 23 | $891 – $891 |
| 5 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $648 | $547 | $189 | 35% | 12 | $221 – $673 |
| 6 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 2 | $389 | $314 | $99 | 32% | 7–70 | $156 – $389 |
| 7 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $408 | $408 | — | — | 4–40 | $408 – $408 |
| 8 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $846 | $729 | $204 | 28% | 3–30 | $442 – $898 |
| 9 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $765 | $765 | — | — | 2–20 | $765 – $765 |
| 10 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · outpatient | 1 | $219 | $219 | — | — | 2–20 | $219 – $219 |
| 11 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 2 | $260 | $260 | $124 | 48% | 2–20 | $136 – $384 |
| 12 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $305 | $305 | — | — | 2–20 | $305 – $305 |
| 13 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 14 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 2 | $7.8k | $7.8k | — | — | 2–20 | $7.8k – $7.8k |
| 15 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $420 | $420 | — | — | 2–20 | $420 – $420 |
| 16 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $959 | $959 | $60 | 6% | 2–20 | $899 – $1.0k |
| 17 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | $0 | 0% | 1–10 | $66 – $67 |
| 18 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $252 | $252 | — | — | 1–10 | $252 – $252 |
| 19 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 20 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $325 | $325 | — | — | 1–10 | $325 – $325 |
| 21 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $254 | — | — | 1–10 | $254 – $254 |
| 22 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $377 | $377 | — | — | 1–10 | $377 – $377 |
| 23 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $781 | $781 | — | — | 1–10 | $781 – $781 |
| 24 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $324 | $324 | — | — | 1–10 | $324 – $324 |
| 25 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 2 | $695 | $695 | $492 | 71% | 1–10 | $202 – $1.2k |
← Payers reporting CPT 12031 · Snapshot 20261111T120946Z-9134e7f7