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 7.6-12.5 Cm
Low
$1
Average
$1.1k
Median
$671
High
$29.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1786 hospitals; the 90th percentile is 7.7× 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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3,267 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 | $3.4k | $16.2k | $16.0k | 99% | 7–70 | $1.3k – $34.3k |
| 2 | Advocate Condell Medical Center Libertyville, IL other · outpatient | 2 | $1.1k | $1.1k | — | — | 4–40 | $1.1k – $1.1k |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $761 | $736 | $44 | 6% | 4–40 | $649 – $761 |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 3 | $420 | $742 | $548 | 74% | 4–40 | $294 – $1.5k |
| 5 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $12.2k | $16.9k | $16.7k | 99% | 3–30 | $1.2k – $45.3k |
| 6 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $219 | $219 | — | — | 2–20 | $219 – $219 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $563 | $567 | $112 | 20% | 2–20 | $455 – $686 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $534 | $537 | $106 | 20% | 2–20 | $431 – $650 |
| 9 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $366 | $366 | $20 | 5% | 2–20 | $346 – $385 |
| 10 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $2.3k | $2.3k | $122 | 5% | 2–20 | $2.2k – $2.4k |
| 11 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 2 | $328 | $328 | $98 | 30% | 1–10 | $231 – $426 |
| 12 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 5 | $2.0k | $2.4k | $2.0k | 82% | 1–10 | $295 – $5.0k |
| 13 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 5 | $2.0k | $2.4k | $2.0k | 82% | 1–10 | $295 – $5.0k |
| 14 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | 1–10 | $6.8k – $6.8k |
| 15 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | 1–10 | $6.8k – $6.8k |
| 16 | Moberly Hospital Company LLC Moberly, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
| 17 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $6.8k | $6.8k | $5.1k | 74% | 1–10 | $1.8k – $11.9k |
| 18 | The Medical Center of Central Georgia Inc Macon, GA other · outpatient | 1 | $496 | $496 | — | — | 1–10 | $496 – $496 |
| 19 | The University of Texas Medical Branch Webster, TX other · both | 1 | $408 | $408 | — | — | 1–10 | $408 – $408 |
| 20 | The University of Texas Medical Branch Webster, TX other · outpatient | 1 | $742 | $742 | — | — | 1–10 | $742 – $742 |
| 21 | WA Foote Memorial Hospital Jackson, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $385 | $385 | — | — | 1–10 | $385 – $385 |
| 22 | WA Foote Memorial Hospital Jackson, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $343 | $343 | $139 | 40% | — | $204 – $481 |
| 24 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $289 | $259 | $43 | 16% | — | $199 – $289 |
← Payers reporting CPT 12054 · Snapshot 20261112T124536Z-e251e855