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
$1
Average
$2.8k
Median
$2.3k
High
$23.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1657 hospitals; the 90th percentile is 5.5× 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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2,854 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 4 | $1.6k | $1.1k | $588 | 52% | 95 | $405 – $1.6k |
| 2 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $2.1k | $2.5k | $968 | 38% | 20–200 | $1.4k – $4.8k |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.9k | $2.8k | $166 | 6% | 8–80 | $2.5k – $2.9k |
| 4 | Samaritan Medical Center Watertown, NY professional · other · both | 2 | $1.1k | $1.1k | $1.0k | 91% | 8–80 | $101 – $2.1k |
| 5 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $5.2k | $4.3k | $1.9k | 44% | 6–60 | $2.1k – $6.2k |
| 6 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 5 | $2.0k | $2.8k | $1.6k | 59% | 4–40 | $1.0k – $5.0k |
| 7 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $1.1k | $1.1k | $1.0k | 91% | 4–40 | $101 – $2.1k |
| 8 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · outpatient | 9 | $2.0k | $1.9k | $426 | 22% | 3–30 | $732 – $2.4k |
| 9 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $465 | $465 | $161 | 35% | 2–20 | $304 – $625 |
| 10 | Brigham and Women's Hospital Boston, MA other · both | 1 | $2.1k | $2.1k | — | — | 2–20 | $2.1k – $2.1k |
| 11 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $2.4k | $2.4k | $220 | 9% | 2–20 | $2.1k – $2.6k |
| 12 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 13 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $1.2k | $1.2k | $27 | 2% | 2–20 | $1.1k – $1.2k |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $1.1k | $1.1k | $459 | 40% | 2–20 | $679 – $1.6k |
| 15 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 2 | $843 | $843 | — | — | 2–20 | $843 – $843 |
| 16 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL case rate · outpatient | 1 | $2.0k | $2.0k | — | — | 2–20 | $2.0k – $2.0k |
| 17 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 1 | $613 | $613 | — | — | 2–20 | $613 – $613 |
| 18 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.9k | $35 | 2% | 2–20 | $1.9k – $1.9k |
| 19 | Massachusetts General Hospital Boston, MA other · both | 1 | $2.1k | $2.1k | — | — | 2–20 | $2.1k – $2.1k |
| 20 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | $3.4k | 70% | 2–20 | $1.5k – $8.4k |
| 21 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $18.0k | $14.5k | $6.1k | 42% | 2–20 | $5.4k – $20.1k |
| 22 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $2.1k | $3.2k | $1.6k | 49% | 2–20 | $2.1k – $5.5k |
| 23 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $101 | $101 | — | — | 2–20 | $101 – $101 |
| 24 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $7.5k | $7.5k | $6.5k | 87% | 2–20 | $993 – $14.0k |
| 25 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $708 | $708 | $296 | 42% | 2–20 | $412 – $1.0k |
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