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
HB Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn
Low
$1
Average
$1.7k
Median
$1.3k
High
$20.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1809 hospitals; the 90th percentile is 6.9× 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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3,248 hospital rates
iThe hospitals that file a Aetna 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 | 6 | $876 | $1.4k | $925 | 67% | 1,468–1,486 | $493 – $3.0k |
| 2 | Northwestern Medicine Valley West Hospital Sandwich, IL percent of total billed charges · outpatientfrom % of charges | 4 | $2.2k | $2.2k | $847 | 39% | 124 | $1.1k – $3.1k |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $1.0k | $1.1k | $624 | 59% | 62–71 | $422 – $1.8k |
| 4 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $671 | $671 | — | — | 56 | $671 – $671 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $671 | $671 | — | — | 56 | $671 – $671 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $985 | $1.3k | $667 | 52% | 52 | $716 – $2.6k |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $933 | $1.2k | $632 | 52% | 52 | $679 – $2.4k |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $452 | 20% | 44 | $1.6k – $2.8k |
| 9 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 1 | $248 | $248 | — | — | 36 | $248 – $248 |
| 10 | Missouri Baptist Medical Center Saint Louis, MO other · outpatient | 2 | $707 | $707 | — | — | 34–52 | $707 – $707 |
| 11 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $586 | $586 | — | — | 31 | $586 – $586 |
| 12 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $8.5k | $9.7k | $2.8k | 29% | 29–38 | $8.5k – $16.5k |
| 13 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.3k | $1.4k | $762 | 54% | 29–47 | $287 – $2.9k |
| 14 | Mercy Hospital Oklahoma City Inc City, OK facility · per diem · outpatient | 2 | $2.5k | $2.5k | $426 | 17% | 27 | $2.0k – $2.9k |
| 15 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $986 | $986 | $164 | 17% | 27–36 | $822 – $1.1k |
| 16 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 2 | $707 | $707 | — | — | 25–34 | $707 – $707 |
| 17 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $2.5k | $2.5k | $230 | 9% | 25 | $2.2k – $2.8k |
| 18 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 25 | $2.0k – $2.0k |
| 19 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT other · outpatient | 1 | $296 | $296 | — | — | 24 | $296 – $296 |
| 20 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $693 | $693 | — | — | 23 | $693 – $693 |
| 21 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 23 | $2.2k – $2.2k |
| 22 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 2 | $706 | $706 | — | — | 21–30 | $706 – $706 |
| 23 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $3.5k | $3.7k | $666 | 18% | 15 | $3.0k – $4.8k |
| 24 | Christian Hospital St. Louis, MO other · outpatient | 2 | $707 | $707 | — | — | 14–23 | $707 – $707 |
| 25 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $639 | $639 | — | — | 14 | $639 – $639 |
← Payers reporting CPT 62321 · Snapshot 20261111T120946Z-9134e7f7