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 Mucosa Vestibule Mouth as Don Grf
Low
$1
Average
$1.4k
Median
$863
High
$51.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1160 hospitals; the 90th percentile is 8.3× 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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1,677 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $84.7k | $84.7k | — | — | 36 | $84.7k – $84.7k |
| 2 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $514 | $514 | $27 | 5% | 24 | $487 – $541 |
| 3 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 4 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 5 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 2 | $2.8k | $2.8k | $1.3k | 46% | 1–10 | $1.5k – $4.1k |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $456 | $456 | $97 | 21% | — | $359 – $553 |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $463 | $463 | — | — | — | $463 – $463 |
| 9 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 5 | $1.5k | $1.2k | $683 | 56% | — | $280 – $1.9k |
| 10 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 5 | $1.5k | $1.2k | $683 | 56% | — | $280 – $1.9k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $471 | $471 | — | — | — | $471 – $471 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $318 | $286 | $45 | 16% | — | $223 – $318 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $239 | $215 | $34 | 16% | — | $167 – $239 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $229 | $36 | 16% | — | $178 – $254 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $603 | $555 | $186 | 33% | — | $248 – $803 |
| 17 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 18 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 19 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 20 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 21 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 22 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 23 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 4 | $500 | $463 | $73 | 16% | — | $338 – $513 |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $524 | $899 | $551 | 61% | — | $338 – $1.7k |
| 25 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 4 | $930 | $1.0k | $416 | 41% | — | $602 – $1.6k |
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