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
$1
Average
$2.8k
Median
$2.3k
High
$41.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1588 hospitals; the 90th percentile is 5.6× 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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2,656 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 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $2.3k | $2.6k | $1.3k | 50% | 33–60 | $1.2k – $4.6k |
| 2 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $1.5k | $1.5k | — | — | 25 | $1.5k – $1.5k |
| 3 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 21 | $2.6k – $2.6k |
| 4 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $10.3k | $10.3k | — | — | 13–22 | $10.3k – $10.3k |
| 5 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.6k | $2.6k | $153 | 6% | 12–120 | $2.3k – $2.6k |
| 6 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $2.5k | $2.5k | — | — | 12 | $2.5k – $2.5k |
| 7 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $5.2k | $4.5k | $1.8k | 40% | 6–60 | $2.1k – $6.2k |
| 8 | Eskenazi Health Indianapolis, IN facility · other · both | 2 | $2.2k | $2.2k | — | — | 4–40 | $2.2k – $2.2k |
| 9 | 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 |
| 10 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $548 | 50% | 3–30 | $433 – $1.8k |
| 11 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 1 | $2.1k | $2.0k | $124 | 6% | 2–20 | $1.7k – $2.1k |
| 12 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $715 | 53% | 2–20 | $628 – $2.1k |
| 13 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $715 | 53% | 2–20 | $628 – $2.1k |
| 14 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 2 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 15 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 2 | $843 | $843 | — | — | 2–20 | $843 – $843 |
| 16 | Martha's Vineyard Hospital Bluffs, MA other · outpatient | 1 | $2.3k | $2.3k | — | — | 2–20 | $2.3k – $2.3k |
| 17 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 18 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $4.3k | $4.3k | — | — | 2–20 | $4.3k – $4.3k |
| 19 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 20 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $2.1k | $2.1k | — | — | 2–20 | $2.1k – $2.1k |
| 21 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $2.1k | $2.1k | — | — | 2–20 | $2.1k – $2.1k |
| 22 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 2 | $843 | $843 | — | — | 2–20 | $843 – $843 |
| 23 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC other · outpatient | 2 | $3.8k | $3.8k | — | — | 2–20 | $3.8k – $3.8k |
| 24 | Tufts Medical Center BOSTON, MA other · both | 2 | $6.8k | $6.8k | — | — | 2–20 | $6.8k – $6.8k |
| 25 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 4 | $5.2k | $4.5k | $1.8k | 40% | 2–20 | $2.1k – $6.2k |
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