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
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr|RIGHT SIDE
Low
$1
Average
$8.3k
Median
$7.2k
High
$133.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1378 hospitals; the 90th percentile is 14.1× 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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2,040 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 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $16.2k | $16.2k | $3.2k | 20% | 2–20 | $12.9k – $19.4k |
| 2 | ALEGENT CREIGHTON HEALTH Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.9k | — | — | 1–10 | $7.9k – $7.9k |
| 3 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 4 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL other · outpatient | 1 | $8.8k | $8.8k | — | — | 1–10 | $8.8k – $8.8k |
| 5 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $7.3k | $7.0k | $655 | 9% | 1–10 | $6.1k – $7.9k |
| 6 | DOCTORS HOSPITAL CORAL GABLES, FL case rate · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 7 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 8 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · case rate · outpatient | 1 | $23.0k | $23.0k | — | — | 1–10 | $23.0k – $23.0k |
| 9 | Henry Ford Health System West Bloomfield, MI facility · case rate · outpatient | 1 | $11.2k | $11.2k | — | — | 1–10 | $11.2k – $11.2k |
| 10 | JEWISH HOSPITAL LLC Cincinnati, OH other · outpatient | 3 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 11 | Lake Regional Health System Osage Beach, MO fee schedule · both | 2 | $7.1k | $7.1k | $695 | 10% | 1–10 | $6.4k – $7.8k |
| 12 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $13.2k | $13.2k | — | — | 1–10 | $13.2k – $13.2k |
| 13 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 14 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 15 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 16 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $25.6k | $25.6k | — | — | 1–10 | $25.6k – $25.6k |
| 17 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL case rate · outpatient | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 18 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $13.6k | $13.6k | — | — | 1–10 | $13.6k – $13.6k |
| 19 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI case rate · outpatient | 1 | $9.6k | $9.6k | — | — | 1–10 | $9.6k – $9.6k |
| 20 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $10.1k | $10.1k | — | — | 1–10 | $10.1k – $10.1k |
| 21 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 22 | WEST KENDALL BAPTIST HOSPITAL Miami, FL fee schedule · outpatient | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $962 | $2.7k | $2.7k | 102% | — | $550 – $6.5k |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $636 | $580 | $79 | 14% | — | $468 – $636 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $648 | $587 | $86 | 15% | — | $465 – $648 |
← Payers reporting CPT 28238 · Snapshot 20261112T181611Z-3fa9fb76