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
$1.2k
Median
$599
High
$409.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2023 hospitals; the 90th percentile is 8.8× 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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3,948 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $23.0k | $13.9k | $11.9k | 86% | 77–86 | $599 – $36.8k |
| 2 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 4 | $379 | $273 | $143 | 52% | 50–68 | $98 – $395 |
| 3 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $209 | $209 | — | — | 48 | $209 – $209 |
| 4 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $163 | $163 | $20 | 12% | 48 | $143 – $183 |
| 5 | Northwestern Medicine Central DuPage Hospital Winfield, IL fee schedule · outpatient | 2 | $51 | $51 | — | — | 46 | $51 – $51 |
| 6 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $2.7k | $2.9k | 106% | 23 | $736 – $7.7k |
| 7 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $525 | $508 | $30 | 6% | 17–170 | $448 – $525 |
| 8 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $966 | $966 | $547 | 57% | 15 | $420 – $1.5k |
| 9 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $966 | $966 | $547 | 57% | 15 | $420 – $1.5k |
| 10 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $368 | $368 | $148 | 40% | 14 | $219 – $516 |
| 11 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $792 | $792 | — | — | 13 | $792 – $792 |
| 12 | Fairview Health Services Edina, MN other · inpatient | 3 | $473 | $494 | $180 | 36% | 12–120 | $284 – $725 |
| 13 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $238 | $238 | $93 | 39% | 10–100 | $145 – $330 |
| 14 | Fairview Health Services Princeton, MN other · inpatient | 2 | $373 | $373 | $133 | 36% | 8–80 | $240 – $506 |
| 15 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $290 | $311 | $115 | 37% | 8–80 | $172 – $491 |
| 16 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | 5–50 | $1.3k – $1.3k |
| 17 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $251 | $273 | $141 | 52% | 5–50 | $134 – $708 |
| 18 | Advocate Condell Medical Center Libertyville, IL other · outpatient | 2 | $2.0k | $2.0k | — | — | 4–40 | $2.0k – $2.0k |
| 19 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $1.7k | $1.6k | $149 | 9% | 4–40 | $1.4k – $1.8k |
| 20 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $1.0k | $1.0k | — | — | 4–40 | $1.0k – $1.0k |
| 21 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $209 | $210 | $42 | 20% | 4–40 | $169 – $254 |
| 22 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $198 | $199 | $39 | 20% | 4–40 | $160 – $241 |
| 23 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 3 | $182 | $229 | $139 | 61% | 4–40 | $107 – $444 |
| 24 | UF Health Leesburg, FL facility · other · outpatient | 1 | $1.0k | $1.0k | — | — | 4–40 | $1.0k – $1.0k |
| 25 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $1.2k | $1.0k | $516 | 50% | 4–40 | $408 – $1.9k |
← Payers reporting CPT 12031 · Snapshot 20261112T124536Z-e251e855