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
$1
Average
$5.2k
Median
$4.0k
High
$55.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1433 hospitals; the 90th percentile is 14.0× 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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2,193 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 | $26.1k | $30.2k | $10.0k | 33% | 59 | $26.1k – $54.6k |
| 2 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $6.3k | $6.3k | $330 | 5% | 22 | $5.9k – $6.6k |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $5.3k | $5.1k | $476 | 9% | 4–40 | $4.4k – $5.7k |
| 4 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 2 | $9.9k | $9.9k | $5.8k | 59% | 4–40 | $4.1k – $15.8k |
| 5 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $16.6k | $18.4k | $5.7k | 31% | 3–30 | $12.4k – $26.1k |
| 6 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.4k | $4.4k | $3.1k | 70% | 2–20 | $1.3k – $7.4k |
| 7 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 3 | $6.3k | $5.4k | $1.2k | 22% | 2–20 | $3.8k – $6.3k |
| 8 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 3 | $6.3k | $5.4k | $1.2k | 22% | 2–20 | $3.8k – $6.3k |
| 9 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL case rate · outpatient | 2 | $5.6k | $5.6k | $293 | 5% | 2–20 | $5.3k – $5.9k |
| 10 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $5.6k | $5.6k | $293 | 5% | 2–20 | $5.3k – $5.9k |
| 11 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $5.6k | $5.6k | $293 | 5% | 2–20 | $5.3k – $5.9k |
| 12 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $5.6k | $5.6k | $293 | 5% | 2–20 | $5.3k – $5.9k |
| 13 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $43.6k | $43.6k | — | — | 2–20 | $43.6k – $43.6k |
| 14 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $7.0k | $7.0k | $3.5k | 50% | 2–20 | $3.5k – $10.5k |
| 15 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 16 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 17 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $577 | $577 | — | — | 1–10 | $577 – $577 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 19 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 2 | $2.0k | $2.0k | $1.7k | 84% | 1–10 | $316 – $3.7k |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 21 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 22 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 23 | Hospital Development Co Spencer, WV percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 24 | MERCY HEALTH YOUNGSTOWN LLC Warren, OH other · outpatient | 3 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 25 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
← Payers reporting CPT 63688 · Snapshot 20261112T181611Z-3fa9fb76