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
$1
Average
$2.7k
Median
$2.3k
High
$31.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1520 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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2,559 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 | $2.0k | $1.4k | $749 | 52% | 164 | $517 – $2.1k |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $1.8k | $2.1k | $672 | 32% | 4–40 | $1.6k – $3.2k |
| 3 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $1.8k | $1.5k | $731 | 50% | 4–40 | $0 – $1.9k |
| 4 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $5.2k | $4.4k | $1.9k | 42% | 3–30 | $2.1k – $6.2k |
| 5 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | $328 | 9% | 2–20 | $3.5k – $4.1k |
| 6 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $3.0k | $2.9k | $172 | 6% | 2–20 | $2.5k – $3.0k |
| 7 | Eskenazi Health Indianapolis, IN facility · per diem · both | 1 | $1.9k | $1.9k | — | — | 2–20 | $1.9k – $1.9k |
| 8 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $2.6k | $2.6k | — | — | 2–20 | $2.6k – $2.6k |
| 9 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 2 | $843 | $843 | — | — | 2–20 | $843 – $843 |
| 10 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 5 | $2.0k | $2.8k | $1.6k | 59% | 2–20 | $1.0k – $5.0k |
| 11 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $3.8k | $3.3k | $1.1k | 33% | 2–20 | $865 – $3.8k |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.4k | $7.4k | $1.1k | 15% | 2–20 | $6.3k – $8.4k |
| 13 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.3k | $13.3k | $6.9k | 52% | 2–20 | $6.4k – $20.2k |
| 14 | Pemiscot Memorial Health System Hayti, MO other · outpatient | 1 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 15 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 16 | Brigham and Women's Hospital Boston, MA other · both | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 17 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 18 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 2 | $2.8k | $2.8k | $1.5k | 55% | 1–10 | $1.3k – $4.3k |
| 19 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 20 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.9k | $13.9k | — | — | 1–10 | $13.9k – $13.9k |
| 21 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 2 | $2.8k | $2.8k | $1.6k | 57% | 1–10 | $1.2k – $4.3k |
| 22 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 2 | $1.4k | $1.4k | $556 | 40% | 1–10 | $837 – $1.9k |
| 23 | DIGNITY HEALTH Phoenix, AZ percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 24 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 25 | MERCY HEALTH ST VINCENT MEDICAL CENTER LLC Toledo, OH other · outpatient | 3 | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
← Payers reporting CPT 15240 · Snapshot 20261113T090226Z-3ce6c0b8