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 12.6-20
Low
$11
Average
$1.8k
Median
$811
High
$370.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1813 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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3,232 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $2.7k | $12.3k | $15.8k | 128% | 206 | $252 – $45.6k |
| 2 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 2 | $7.5k | $7.4k | $495 | 7% | 14 | $6.8k – $8.0k |
| 3 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 2 | $7.5k | $7.3k | $354 | 5% | 14 | $6.8k – $7.5k |
| 4 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 2 | $7.5k | $7.3k | $354 | 5% | 14 | $6.8k – $7.5k |
| 5 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 2 | $7.5k | $7.3k | $354 | 5% | 14 | $6.8k – $7.5k |
| 6 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $411 | $580 | $339 | 58% | 12 | $411 – $1.3k |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $240 | $311 | $163 | 52% | 8–80 | $175 – $626 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $228 | $294 | $154 | 52% | 8–80 | $165 – $593 |
| 9 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $2.7k | $4.8k | $4.2k | 87% | 6–60 | $388 – $11.5k |
| 10 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 6 | $4.6k | $12.3k | $14.2k | 116% | 6–60 | $176 – $39.2k |
| 11 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $6.3k | $12.5k | $15.4k | 123% | 4–40 | $470 – $48.4k |
| 12 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL case rate · outpatient | 1 | $1.0k | $1.0k | — | — | 3–30 | $1.0k – $1.0k |
| 13 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $274 | $277 | $9 | 3% | 3–30 | $268 – $289 |
| 14 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.9k | — | — | 2–20 | $1.9k – $1.9k |
| 15 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $768 | $761 | $115 | 15% | 2–20 | $564 – $896 |
| 16 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $823 | $823 | $39 | 5% | 2–20 | $784 – $863 |
| 17 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $333 | $333 | — | — | 2–20 | $333 – $333 |
| 18 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $333 | $333 | — | — | 2–20 | $333 – $333 |
| 19 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $1.2k | $235 | 20% | 2–20 | $857 – $1.4k |
| 20 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $926 | $926 | — | — | 1–10 | $926 – $926 |
| 21 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 22 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $346 | $346 | — | — | 1–10 | $346 – $346 |
| 23 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $784 | $859 | $284 | 33% | 1–10 | $355 – $1.2k |
| 24 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $331 | $1.6k | $2.5k | 159% | 1–10 | $246 – $7.7k |
| 25 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 5 | $545 | $503 | $159 | 32% | 1–10 | $215 – $664 |
← Payers reporting CPT 12035 · Snapshot 20261111T120946Z-9134e7f7