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
$730
Average
$9.0k
Median
$6.4k
High
$42.8k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 25.6× 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
101 hospital rates
iThe hospitals that file a MultiPlan 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 Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $29.6k | $29.0k | $3.4k | 12% | 261 | $24.6k – $32.9k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $35.0k | $34.3k | $2.7k | 8% | 96–114 | $29.8k – $37.2k |
| 3 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $16.3k | $16.3k | $5.1k | 31% | 2–20 | $11.2k – $21.4k |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 2 | $6.4k | $6.4k | $632 | 10% | — | $5.8k – $7.0k |
| 7 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 8 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $967 | $967 | — | — | — | $967 – $967 |
| 9 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 2 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 10 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 2 | $6.4k | $6.4k | $632 | 10% | — | $5.8k – $7.0k |
| 11 | Centennial Hills Las Vegas, NV case rate · both | 1 | $42.8k | $42.8k | — | — | — | $42.8k – $42.8k |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $1.8k | 91% | — | $188 – $3.8k |
| 19 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 20 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 21 | Granbury Hospital Corporation Granbury, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $32.4k | $32.4k | $2.6k | 8% | — | $29.8k – $34.9k |
| 22 | HCA HEALTHONE AURORA Aurora, CO fee schedule · outpatient | 2 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 23 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO fee schedule · outpatient | 2 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 24 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO fee schedule · outpatient | 2 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 25 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO fee schedule · outpatient | 2 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
← Payers reporting CPT 66174 · Snapshot 20261111T120946Z-9134e7f7