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
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr
Low
$1
Average
$10.4k
Median
$8.5k
High
$571.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1738 hospitals; the 90th percentile is 5.3× 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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3,207 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 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $8.2k | $8.2k | — | — | 16 | $8.2k – $8.2k |
| 2 | Massachusetts General Hospital Boston, MA other · both | 1 | $8.3k | $8.3k | — | — | 11 | $8.3k – $8.3k |
| 3 | St. Lukes Hospital of Kansas City City, KS case rate · both | 2 | $6.8k | $6.8k | $3.5k | 51% | 4–40 | $3.3k – $10.3k |
| 4 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 2 | $3.0k | $3.0k | — | — | 3–30 | $3.0k – $3.0k |
| 5 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 2 | $10.2k | $10.2k | $3.2k | 32% | 2–20 | $6.9k – $13.4k |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $6.7k | $6.7k | — | — | 2–20 | $6.7k – $6.7k |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $9.0k | $9.0k | — | — | 2–20 | $9.0k – $9.0k |
| 8 | Fairview Health Services Princeton, MN other · inpatient | 1 | $6.3k | $6.3k | — | — | 2–20 | $6.3k – $6.3k |
| 9 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $7.4k | $7.4k | $113 | 2% | 2–20 | $7.3k – $7.5k |
| 10 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 1 | $6.6k | $6.6k | — | — | 2–20 | $6.6k – $6.6k |
| 11 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 2 | $13.1k | $13.1k | — | — | 2–20 | $13.1k – $13.1k |
| 12 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $13.6k | $13.6k | — | — | 2–20 | $13.6k – $13.6k |
| 13 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL case rate · outpatient | 1 | $5.7k | $5.7k | — | — | 2–20 | $5.7k – $5.7k |
| 14 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 2 | $3.0k | $3.0k | — | — | 2–20 | $3.0k – $3.0k |
| 15 | St. Lukes Hospital of Kansas City City, KS case rate · outpatient | 2 | $6.8k | $6.8k | $3.5k | 51% | 2–20 | $3.3k – $10.3k |
| 16 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 2 | $3.0k | $3.0k | — | — | 2–20 | $3.0k – $3.0k |
| 17 | University of Virginia Prince William Medical Center Manassas, VA other · both | 2 | $23.2k | $18.0k | $7.4k | 41% | 2–20 | $7.5k – $23.2k |
| 18 | Alton Memorial Hospital Alton, IL other · outpatient | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 19 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 20 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 21 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 22 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 23 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
← Payers reporting CPT 22514 · Snapshot 20261112T181611Z-3fa9fb76