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
HC ADJ TISS XFER LID,NOS,EAR <10 SQCM
Low
$9
Average
$3.4k
Median
$2.5k
High
$74.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1534 hospitals; the 90th percentile is 6.4× 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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2,403 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 | Wills Eye Hospital Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $703 | $703 | — | — | 11 | $703 – $703 |
| 2 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 4 | $2.1k | $1.9k | $318 | 17% | 6–60 | $1.2k – $2.1k |
| 3 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 2 | $2.1k | $2.1k | $156 | 8% | 4–40 | $1.7k – $2.4k |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $3.5k | $1.9k | 52% | 4–40 | $2.0k – $7.2k |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $2.6k | $3.4k | $1.8k | 52% | 4–40 | $1.9k – $6.8k |
| 6 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $2.1k | $2.1k | — | — | 3–30 | $2.1k – $2.1k |
| 7 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 8 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.8k | $2.1k | $1.1k | 52% | 2–20 | $1.1k – $3.8k |
| 9 | Martha's Vineyard Hospital Bluffs, MA other · outpatient | 1 | $2.3k | $2.3k | — | — | 2–20 | $2.3k – $2.3k |
| 10 | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Effingham, IL fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | 2–20 | $2.0k – $2.0k |
| 11 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 12 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 13 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 4 | $2.1k | $1.9k | $318 | 17% | 2–20 | $1.2k – $2.1k |
| 14 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $3.4k | $3.4k | $199 | 6% | 2–20 | $3.2k – $3.6k |
| 15 | Alton Memorial Hospital Alton, IL other · outpatient | 2 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 16 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 17 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $8.5k | $8.5k | — | — | 1–10 | $8.5k – $8.5k |
| 18 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 19 | Brigham and Women's Hospital Boston, MA other · both | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 20 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.7k | $11.7k | — | — | 1–10 | $11.7k – $11.7k |
| 21 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $483 | $483 | — | — | 1–10 | $483 – $483 |
| 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 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 24 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $997 | $997 | — | — | 1–10 | $997 – $997 |
| 25 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
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