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
CHEM CAUT OF GRANLTJ TISSUE
Low
$1
Average
$839
Median
$358
High
$17.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2037 hospitals; the 90th percentile is 18.3× 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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3,981 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $38 | $38 | — | — | 462 | $38 – $38 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $38 | $38 | — | — | 257 | $38 – $38 |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $289 | $279 | $17 | 6% | 72–720 | $246 – $289 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $548 | $396 | $214 | 54% | 59–140 | $85 – $602 |
| 5 | Fairview Health Services Edina, MN other · inpatient | 3 | $449 | $383 | $130 | 34% | 43–115 | $201 – $499 |
| 6 | Missouri Baptist Medical Center Saint Louis, MO other · outpatient | 1 | $407 | $313 | $109 | 35% | 42 | $163 – $407 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $194 | $194 | — | — | 37 | $194 – $194 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $392 | $392 | — | — | 37 | $392 – $392 |
| 9 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $484 | $484 | $276 | 57% | 34 | $209 – $760 |
| 10 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $484 | $484 | $276 | 57% | 34 | $209 – $760 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $347 | $379 | $66 | 18% | 33–42 | $318 – $471 |
| 12 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $376 | $376 | — | — | 30 | $376 – $376 |
| 13 | Christian Hospital St. Louis, MO other · outpatient | 1 | $201 | $270 | $97 | 36% | 29–38 | $201 – $407 |
| 14 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 2 | $323 | $323 | $130 | 40% | 29–47 | $193 – $453 |
| 15 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $91 | $92 | $18 | 20% | 28–46 | $74 – $111 |
| 16 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $384 | $384 | $15 | 4% | 27 | $369 – $399 |
| 17 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 26 | $70 – $70 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 1 | $212 | $212 | — | — | 25 | $212 – $212 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · outpatient | 1 | $212 | $212 | — | — | 25 | $212 – $212 |
| 20 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | 22 | $65 – $65 |
| 21 | Piedmont Newnan Newnan, GA fee schedule · both | 2 | $1.6k | $1.6k | $333 | 21% | 22–31 | $1.2k – $1.9k |
| 22 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 3 | $547 | $878 | $687 | 78% | 22–40 | $253 – $1.8k |
| 23 | St Josephs Hospital Health Center Syracuse, NY facility · other · outpatient | 3 | $547 | $878 | $687 | 78% | 22–40 | $253 – $1.8k |
| 24 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 3 | $141 | $167 | $96 | 57% | 22–49 | $80 – $309 |
| 25 | Missouri Baptist Medical Center Saint Louis, MO case rate · outpatient | 1 | $8.2k | $8.2k | — | — | 21–30 | $8.2k – $8.2k |
← Payers reporting CPT 17250 · Snapshot 20261112T181611Z-3fa9fb76