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
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Low
$1
Average
$4.5k
Median
$3.9k
High
$31.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1242 hospitals; the 90th percentile is 6.1× 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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1,808 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 | $31.2k | $31.2k | — | — | 138 | $31.2k – $31.2k |
| 2 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $4.3k | $4.3k | $224 | 5% | 92 | $4.0k – $4.5k |
| 3 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 1 | $13.1k | $13.1k | — | — | 12 | $13.1k – $13.1k |
| 4 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $1.2k | $1.2k | — | — | 4–40 | $1.2k – $1.2k |
| 5 | 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 |
| 6 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $3.8k | $3.8k | $199 | 5% | 2–20 | $3.6k – $4.0k |
| 7 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $19.2k | $19.2k | — | — | 2–20 | $19.2k – $19.2k |
| 8 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 2 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 9 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 2 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 10 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 11 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · outpatient | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 12 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $12.1k | $12.1k | — | — | 1–10 | $12.1k – $12.1k |
| 13 | MERCY HEALTH ST RITAS MEDICAL CENTER LLC Lima, OH other · outpatient | 3 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 14 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.2k | $14.2k | — | — | 1–10 | $14.2k – $14.2k |
| 15 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI case rate · outpatient | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 16 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 17 | St Tammany Hosptial Service District No 2 Slidell, LA fee schedule · outpatient | 1 | $8.6k | $8.6k | $361 | 4% | 1–10 | $8.3k – $9.0k |
| 18 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | 1–10 | $10.1k – $10.1k |
| 19 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 3 | $6.2k | $4.8k | $2.5k | 53% | 1–10 | $1.3k – $7.0k |
| 20 | University of Virginia Haymarket Medical Center Haymarket, VA other · outpatient | 2 | $10.2k | $8.0k | $3.1k | 39% | 1–10 | $3.6k – $10.2k |
| 21 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.7k | $2.0k | $862 | 44% | — | $1.1k – $3.1k |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $492 | $449 | $62 | 14% | — | $361 – $492 |
| 23 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $501 | $454 | $67 | 15% | — | $359 – $501 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $492 | $448 | $63 | 14% | — | $359 – $492 |
| 25 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 5 | $3.5k | $2.8k | $1.3k | 44% | — | $402 – $3.8k |
← Payers reporting CPT 53854 · Snapshot 20261112T181611Z-3fa9fb76