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
PERI-IMPLT CAPSLC BRST COMPL
Low
$1
Average
$5.4k
Median
$4.3k
High
$48.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1384 hospitals; the 90th percentile is 9.2× 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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2,049 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 | SOUTH MIAMI HOSPITAL Weston, FL case rate · outpatient | 2 | $1.3k | $2.0k | $1.1k | 58% | 4–40 | $1.3k – $4.0k |
| 2 | WEST KENDALL BAPTIST HOSPITAL Miami, FL case rate · outpatient | 1 | $2.6k | $2.6k | — | — | 3–30 | $2.6k – $2.6k |
| 3 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · outpatient | 1 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 4 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 2 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 5 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $10.9k | $10.9k | $2.2k | 20% | 2–20 | $8.7k – $13.1k |
| 6 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $11.1k | $11.1k | $2.2k | 20% | 2–20 | $8.9k – $13.3k |
| 7 | Inova Loudoun Hospital Leesburg, VA other · both | 1 | $10.9k | $10.9k | $2.2k | 20% | 2–20 | $8.7k – $13.1k |
| 8 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | $660 | 19% | 2–20 | $2.9k – $4.2k |
| 9 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 2 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 10 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $7.8k | $7.8k | $3.9k | 50% | 2–20 | $3.9k – $11.7k |
| 11 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 4 | $19.9k | $22.3k | $11.5k | 51% | 2–20 | $6.7k – $41.3k |
| 12 | University of Virginia Prince William Medical Center Manassas, VA other · both | 2 | $12.5k | $9.7k | $4.0k | 41% | 2–20 | $4.1k – $12.5k |
| 13 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 14 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 2 | $4.6k | $4.6k | $2.1k | 46% | 1–10 | $2.5k – $6.8k |
| 15 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 16 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $5.3k | $5.1k | $476 | 9% | 1–10 | $4.4k – $5.7k |
| 17 | DIGNITY HEALTH Carmichael, CA percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | — | — | 1–10 | $7.2k – $7.2k |
| 18 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 2 | $2.4k | $2.4k | $1.7k | 69% | 1–10 | $748 – $4.1k |
| 19 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · case rate · outpatient | 2 | $7.7k | $7.7k | $6.5k | 84% | 1–10 | $1.2k – $14.1k |
| 20 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $12.0k | $12.0k | — | — | 1–10 | $12.0k – $12.0k |
| 21 | Hospital Authority of Colquitt County Moultrie, GA percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 22 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $3.5k | $3.6k | $2.4k | 67% | 1–10 | $680 – $6.6k |
| 23 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $5.4k | $5.4k | — | — | 1–10 | $5.4k – $5.4k |
| 24 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.1k | $12.1k | — | — | 1–10 | $12.1k – $12.1k |
| 25 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $21.1k | $21.1k | — | — | 1–10 | $21.1k – $21.1k |
← Payers reporting CPT 19371 · Snapshot 20261112T181611Z-3fa9fb76