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 Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm
Low
$2
Average
$1.3k
Median
$655
High
$42.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1845 hospitals; the 90th percentile is 10.0× 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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3,286 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 | $271 | $351 | $184 | 52% | 52 | $197 – $707 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $257 | $332 | $174 | 52% | 52 | $187 – $670 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $983 | $5.3k | $7.0k | 134% | 51–87 | $191 – $19.1k |
| 4 | Northwestern Lake Forest Hospital Grayslake, IL per diem · outpatient | 2 | $1.7k | $1.7k | $82 | 5% | 36 | $1.6k – $1.8k |
| 5 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 3 | $721 | $781 | $408 | 52% | 18 | $271 – $1.4k |
| 6 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $310 | $310 | — | — | 14 | $310 – $310 |
| 7 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $437 | $420 | $22 | 5% | 5–50 | $393 – $442 |
| 8 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $2.3k | $3.9k | $3.7k | 93% | 5–50 | $315 – $10.0k |
| 9 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $2.4k | $2.5k | 105% | 4–40 | $256 – $8.4k |
| 10 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $303 | $303 | — | — | 4–40 | $303 – $303 |
| 11 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $408 | $408 | — | — | 4–40 | $408 – $408 |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $976 | $529 | 54% | 3–30 | $250 – $1.5k |
| 13 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $303 | $303 | — | — | 3–30 | $303 – $303 |
| 14 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $226 | $229 | $7 | 3% | 3–30 | $221 – $239 |
| 15 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $290 | $290 | — | — | 3–30 | $290 – $290 |
| 16 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $257 | $257 | — | — | 2–20 | $257 – $257 |
| 17 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $973 | $973 | $36 | 4% | 2–20 | $937 – $1.0k |
| 18 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $207 | $207 | — | — | 2–20 | $207 – $207 |
| 19 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $620 | $620 | $99 | 16% | 2–20 | $521 – $720 |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $620 | $620 | $99 | 16% | 2–20 | $521 – $720 |
| 21 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $748 | $741 | $112 | 15% | 2–20 | $552 – $867 |
| 22 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | $45 | 4% | 2–20 | $986 – $1.1k |
| 23 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 24 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $724 | $724 | $35 | 5% | 2–20 | $690 – $759 |
| 25 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 2 | $656 | $519 | $223 | 43% | 2–20 | $205 – $697 |
← Payers reporting CPT 12052 · Snapshot 20261111T120946Z-9134e7f7