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
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/<
Low
$9
Average
$3.4k
Median
$2.4k
High
$59.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1431 hospitals; the 90th percentile is 6.3× 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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2,236 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $2.1k | $2.2k | $399 | 18% | 16 | $2.1k – $3.4k |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.7k | $2.2k | $1.1k | 52% | 4–40 | $1.2k – $4.3k |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $2.0k | $1.1k | 52% | 4–40 | $1.1k – $4.1k |
| 4 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 4 | $2.1k | $1.9k | $318 | 17% | 4–40 | $1.2k – $2.1k |
| 5 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $4.8k | $4.7k | $293 | 6% | 4–40 | $4.2k – $5.0k |
| 6 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 1 | $2.1k | $2.1k | — | — | 3–30 | $2.1k – $2.1k |
| 7 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $2.1k | $2.1k | — | — | 3–30 | $2.1k – $2.1k |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 1 | $7.8k | $7.8k | — | — | 2–20 | $7.8k – $7.8k |
| 9 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 10 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $167 | $167 | — | — | 2–20 | $167 – $167 |
| 11 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | $32 | 1% | 2–20 | $3.5k – $3.5k |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $4.0k | $4.0k | — | — | 2–20 | $4.0k – $4.0k |
| 13 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11.6k | $11.6k | $3.8k | 32% | 2–20 | $7.9k – $15.4k |
| 14 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 15 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 4 | $2.1k | $1.9k | $318 | 17% | 2–20 | $1.2k – $2.1k |
| 16 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 17 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 18 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $2.3k | $609 | 26% | 1–10 | $1.9k – $3.2k |
| 19 | Cocke County HMA, LLC Newport, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.9k | $13.9k | — | — | 1–10 | $13.9k – $13.9k |
| 20 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.8k | $2.8k | $1.2k | 44% | 1–10 | $1.3k – $4.3k |
| 21 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 22 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 23 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $8.2k | $8.2k | $210 | 3% | 1–10 | $8.0k – $8.4k |
| 24 | HOMESTEAD HOSPITAL Homestead, FL percent of total billed charges · outpatientfrom % of charges | 1 | $18.0k | $18.0k | — | — | 1–10 | $18.0k – $18.0k |
| 25 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $864 | $864 | — | — | 1–10 | $864 – $864 |
← Payers reporting CPT 15240 · Snapshot 20261111T120946Z-9134e7f7