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
$1
Average
$3.8k
Median
$4.0k
High
$14.5k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
698 hospitals; the 90th percentile is 5.8× 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
862 hospital rates
iThe hospitals that file a Humana 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 | 4 | $15.8k | $16.1k | $1.1k | 7% | 190–208 | $14.9k – $17.5k |
| 2 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 2 | $4.1k | $4.1k | — | — | 174 | $4.1k – $4.1k |
| 3 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA case rate · outpatient | 1 | $2.2k | $2.2k | $1.5k | 69% | 31 | $680 – $3.8k |
| 4 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | 2–20 | $4.3k – $4.3k |
| 5 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $2.2k | $2.2k | $1.5k | 69% | 1–10 | $680 – $3.7k |
| 6 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA case rate · outpatient | 1 | $3.7k | $2.7k | $1.4k | 53% | 1–10 | $662 – $3.7k |
| 7 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $2.2k | $2.2k | $1.5k | 69% | 1–10 | $680 – $3.7k |
| 8 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 9 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 10 | Northwestern Memorial Hospital Chicago, IL other · outpatient | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 11 | Pender Memorial Hospital, Incorporated Burgaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 12 | St Tammany Hosptial Service District No 2 Slidell, LA case rate · outpatient | 1 | $3.7k | $2.7k | $1.4k | 53% | 1–10 | $680 – $3.7k |
| 13 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $2.2k | $2.2k | $1.5k | 69% | — | $680 – $3.7k |
| 14 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 15 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $519 | $519 | — | — | — | $519 – $519 |
| 18 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 19 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 20 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 21 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 22 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 23 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 25 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
← Payers reporting CPT 66174 · Snapshot 20261111T120946Z-9134e7f7