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
Litholapaxy Smpl/Sm <2.5 Cm
Low
$1
Average
$4.6k
Median
$3.8k
High
$36.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1538 hospitals; the 90th percentile is 9.1× 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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2,403 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 case rate · outpatient | 2 | $2.1k | $2.1k | $112 | 5% | 144 | $2.0k – $2.2k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $35.8k | $36.8k | $2.5k | 7% | 72 | $35.8k – $43.0k |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $18.5k | $21.5k | $7.7k | 36% | 60 | $13.9k – $32.1k |
| 4 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL case rate · outpatient | 2 | $1.9k | $1.9k | $100 | 5% | 52 | $1.8k – $2.0k |
| 5 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $1.9k | $1.9k | $100 | 5% | 50 | $1.8k – $2.0k |
| 6 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $3.8k | $3.8k | $199 | 5% | 28 | $3.6k – $4.0k |
| 7 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $39.4k | $39.4k | — | — | 25 | $39.4k – $39.4k |
| 8 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $1.9k | $1.9k | $100 | 5% | 22 | $1.8k – $2.0k |
| 9 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $49.6k | $49.6k | — | — | 22 | $49.6k – $49.6k |
| 10 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $25.3k | $25.3k | — | — | 14 | $25.3k – $25.3k |
| 11 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $1.0k | $1.0k | — | — | 4–40 | $1.0k – $1.0k |
| 12 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $15.3k | $17.0k | $5.3k | 31% | 3–30 | $11.5k – $24.2k |
| 13 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 2 | $11.6k | $9.0k | $3.8k | 42% | 3–30 | $3.6k – $11.6k |
| 14 | University of Virginia Haymarket Medical Center Haymarket, VA other · both | 2 | $10.2k | $8.0k | $3.1k | 39% | 3–30 | $3.6k – $10.2k |
| 15 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $7.0k | $7.0k | $3.5k | 50% | 3–30 | $3.5k – $10.6k |
| 16 | University of Virginia Prince William Medical Center Manassas, VA other · both | 2 | $11.3k | $8.7k | $3.6k | 41% | 3–30 | $3.6k – $11.3k |
| 17 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 3 | $4.2k | $3.8k | $1.0k | 27% | 3–30 | $2.2k – $4.7k |
| 18 | Atrium Health Hospitals Inc Kings Mountain, NC other · outpatient | 2 | $4.6k | $4.6k | — | — | 2–20 | $4.6k – $4.6k |
| 19 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL case rate · outpatient | 1 | $977 | $977 | — | — | 2–20 | $977 – $977 |
| 20 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · outpatient | 1 | $2.5k | $2.5k | — | — | 2–20 | $2.5k – $2.5k |
| 21 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 2 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 22 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 2 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 23 | MERCY HEALTH YOUNGSTOWN LLC Youngstown, OH other · outpatient | 3 | $5.1k | $4.4k | $841 | 19% | 2–20 | $3.3k – $5.1k |
| 24 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 3 | $5.3k | $4.2k | $1.4k | 34% | 2–20 | $2.2k – $5.3k |
| 25 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 3 | $5.3k | $4.2k | $1.4k | 34% | 2–20 | $2.2k – $5.3k |
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