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 Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra
Low
$10
Average
$3.7k
Median
$3.4k
High
$46.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1335 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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1,920 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 | $16.9k | $16.5k | $7.5k | 46% | 96 | $7.5k – $26.1k |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $8.7k | $8.3k | $2.6k | 31% | 6–60 | $3.1k – $11.2k |
| 3 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $8.5k | $9.2k | $2.8k | 31% | 5–50 | $4.6k – $12.6k |
| 4 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $16.6k | $21.5k | $13.1k | 61% | 4–40 | $9.4k – $43.6k |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $999 | $999 | — | — | 3–30 | $999 – $999 |
| 6 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $6.2k | $6.6k | $6.3k | 95% | 2–20 | $349 – $14.6k |
| 7 | Northwestern Lake Forest Hospital Grayslake, IL per diem · outpatient | 2 | $3.4k | $3.4k | $164 | 5% | 2–20 | $3.3k – $3.6k |
| 8 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $1.4k | $1.4k | $69 | 5% | 2–20 | $1.4k – $1.5k |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 10 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 11 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 12 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 13 | Community Health Association Ripley, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 14 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 1 | $14.6k | $14.6k | — | — | 1–10 | $14.6k – $14.6k |
| 15 | MIDSTATE MEDICAL CENTER MERIDEN, CT percent of total billed charges · outpatientfrom % of charges | 1 | $18.2k | $18.2k | — | — | 1–10 | $18.2k – $18.2k |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 17 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 18 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 19 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 20 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 21 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 22 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 23 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 24 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL percent of total billed charges · outpatientfrom % of charges | 1 | $5.4k | $5.4k | — | — | 1–10 | $5.4k – $5.4k |
| 25 | TWIN CITY HOSPITAL CORPORATION Dennison, OH percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
← Payers reporting CPT 63688 · Snapshot 20261111T120946Z-9134e7f7