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
Adjt Tis Trns/Reargmt F/C/C/M/N/a/G/H/F 10sqcm/<
Low
$9
Average
$3.1k
Median
$2.3k
High
$59.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1613 hospitals; the 90th percentile is 5.2× 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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2,545 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $1.5k | $1.5k | — | — | 271 | $1.5k – $1.5k |
| 2 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $1.8k | $1.9k | $623 | 33% | 10–100 | $1.1k – $2.9k |
| 3 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 4 | $1.8k | $1.6k | $282 | 17% | 6–60 | $1.1k – $1.8k |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.8k | $2.3k | $1.2k | 52% | 4–40 | $1.3k – $4.6k |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.7k | $2.2k | $1.1k | 52% | 4–40 | $1.2k – $4.4k |
| 6 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $1.6k | $1.6k | — | — | 4–40 | $1.6k – $1.6k |
| 7 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $2.1k | $2.1k | — | — | 3–30 | $2.1k – $2.1k |
| 8 | Brigham and Women's Hospital Boston, MA other · both | 1 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 9 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3.2k | $3.2k | $118 | 4% | 2–20 | $3.1k – $3.3k |
| 10 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | — | — | 2–20 | $1.8k – $1.8k |
| 11 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | 2–20 | $2.1k – $2.1k |
| 12 | Massachusetts General Hospital Boston, MA other · both | 1 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 13 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | $712 | 27% | 2–20 | $2.0k – $3.4k |
| 14 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 15 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $4.6k | $4.5k | $926 | 20% | 2–20 | $3.4k – $5.6k |
| 16 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 4 | $1.8k | $1.6k | $282 | 17% | 2–20 | $1.1k – $1.8k |
| 17 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 18 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 19 | Boston Medical Center Boston, MA other · both | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 20 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 21 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $313 | — | — | 1–10 | $313 – $313 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $3.2k | $943 | 29% | 1–10 | $2.4k – $4.5k |
| 23 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $2.9k | $967 | 33% | 1–10 | $1.2k – $4.1k |
| 24 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $729 | $729 | — | — | 1–10 | $729 – $729 |
| 25 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · outpatientfrom % of charges | 1 | $13.9k | $13.9k | — | — | 1–10 | $13.9k – $13.9k |
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