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 Trluml Dilat Aqueous O/F Can WO Retention Dev/St
Low
$209
Average
$5.1k
Median
$4.3k
High
$52.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1037 hospitals; the 90th percentile is 7.7× 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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1,327 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 | $11.5k | $16.4k | $10.9k | 66% | 195–231 | $7.2k – $35.0k |
| 2 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $2.4k | $2.4k | $117 | 5% | 174 | $2.3k – $2.6k |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $5.4k | $5.4k | — | — | 87 | $5.4k – $5.4k |
| 4 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $1.7k | $1.7k | — | — | 11 | $1.7k – $1.7k |
| 5 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $8.1k | $10.6k | $6.4k | 61% | 4–40 | $4.6k – $21.4k |
| 6 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $7.4k | $7.4k | $1.5k | 20% | 2–20 | $5.9k – $8.8k |
| 7 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | 2–20 | $4.9k – $4.9k |
| 8 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $10.2k | $10.2k | — | — | 2–20 | $10.2k – $10.2k |
| 9 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA case rate · outpatient | 1 | $3.3k | $3.3k | $524 | 16% | 2–20 | $2.7k – $3.8k |
| 10 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 11 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $3.1k | $3.1k | $605 | 20% | 1–10 | $2.4k – $3.7k |
| 12 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $677 | $677 | — | — | 1–10 | $677 – $677 |
| 13 | Highsmith-Rainey Specialty Hospital Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 14 | Hshs Holy Family Hospital Inc Greenville, IL fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 15 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 16 | Pender Memorial Hospital, Incorporated Burgaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $209 | $209 | — | — | 1–10 | $209 – $209 |
| 17 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15.2k | $15.2k | — | — | 1–10 | $15.2k – $15.2k |
| 18 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $2.4k | $2.4k | $1.3k | 55% | — | $1.1k – $3.7k |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $871 | $871 | — | — | — | $871 – $871 |
| 21 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $822 | $822 | — | — | — | $822 – $822 |
| 22 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $519 | $519 | — | — | — | $519 – $519 |
← Payers reporting CPT 66174 · Snapshot 20261111T120946Z-9134e7f7