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
Rev/Rmv Prph Sac/Gstrc Npg/Rcv Dtch Conn Eltr Ra
Low
$9
Average
$3.6k
Median
$3.3k
High
$69.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1265 hospitals; the 90th percentile is 14.9× 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.
Filter by billing methodology
Filter by billing class
1,800 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 Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $8.0k | $7.7k | $2.2k | 28% | 66 | $3.4k – $10.3k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $9.8k | $12.8k | $7.5k | 58% | 60–96 | $6.1k – $24.0k |
| 3 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 6 | $11.9k | $12.2k | $5.7k | 47% | 6–60 | $4.2k – $19.9k |
| 4 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $8.9k | $9.5k | $3.0k | 31% | 5–50 | $4.8k – $13.2k |
| 5 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | $2.4k | 75% | 2–20 | $810 – $5.7k |
| 6 | Northwestern Lake Forest Hospital Grayslake, IL per diem · outpatient | 2 | $3.4k | $3.4k | $164 | 5% | 2–20 | $3.3k – $3.6k |
| 7 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 8 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | $2.1k | 73% | 2–20 | $777 – $5.0k |
| 9 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 10 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $320 | $320 | — | — | 1–10 | $320 – $320 |
| 11 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 12 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 13 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 2 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 14 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 15 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 16 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 17 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 18 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 19 | Moberly Hospital Company LLC Moberly, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $25.3k | $27.2k | $2.6k | 9% | 1–10 | $25.3k – $30.8k |
| 20 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $20.8k | $20.8k | — | — | 1–10 | $20.8k – $20.8k |
| 21 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 2 | $3.4k | $3.4k | $83 | 2% | 1–10 | $3.3k – $3.5k |
| 22 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 23 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $15.3k | $15.3k | — | — | 1–10 | $15.3k – $15.3k |
| 24 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 25 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
← Payers reporting CPT 64595 · Snapshot 20261111T120946Z-9134e7f7