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
EXC BACK TUM DEEP 5 CM/>
Low
$1
Average
$4.1k
Median
$3.3k
High
$31.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1578 hospitals; the 90th percentile is 8.4× 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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2,443 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 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $4.8k | $4.6k | $432 | 9% | 6–60 | $4.0k – $5.2k |
| 2 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | $52 | 5% | 2–20 | $980 – $1.1k |
| 3 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 2 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 4 | Samaritan Hospital Troy, NY facility · other · outpatient | 3 | $8.3k | $8.3k | $3.7k | 45% | 2–20 | $3.7k – $12.8k |
| 5 | St Josephs Hospital Health Center Syracuse, NY facility · other · outpatient | 3 | $6.0k | $5.9k | $1.7k | 30% | 2–20 | $3.7k – $7.9k |
| 6 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 2 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 7 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $2.8k | $2.1k | $1.2k | 58% | 2–20 | $0 – $2.9k |
| 8 | ALEGENT CREIGHTON HEALTH Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA percent of total billed charges · outpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 10 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 11 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA case rate · outpatient | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 12 | BETHESDA HOSPITAL BOYNTON BEACH, FL case rate · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 13 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · outpatient | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 14 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 15 | DIGNITY HEALTH Phoenix, AZ percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 16 | DOCTORS HOSPITAL CORAL GABLES, FL case rate · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 17 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.2k | $4.2k | $2.2k | 53% | 1–10 | $2.0k – $6.4k |
| 18 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.2k | $4.2k | $2.2k | 53% | 1–10 | $2.0k – $6.4k |
| 19 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 8 | $1.2k | $1.3k | $177 | 14% | 1–10 | $1.2k – $1.6k |
| 20 | F.F. Thompson Hospital Canandaigua, NY percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 21 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $707 | $707 | — | — | 1–10 | $707 – $707 |
| 22 | HARRISON MEDICAL CENTER Silverdale, WA percent of total billed charges · outpatientfrom % of charges | 1 | $19.2k | $19.2k | — | — | 1–10 | $19.2k – $19.2k |
| 23 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 24 | HMH HOSPITALS CORPORATION Edison, NJ facility · case rate · outpatient | 1 | $11.3k | $11.3k | — | — | 1–10 | $11.3k – $11.3k |
| 25 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · case rate · outpatient | 2 | $5.7k | $5.7k | $4.5k | 79% | 1–10 | $1.2k – $10.2k |
← Payers reporting CPT 21933 · Snapshot 20261112T181611Z-3fa9fb76