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
Xcapsl Ctrc Rmvl Insj Io Lens Prosth Insj 1+
Low
$1
Average
$7.4k
Median
$6.4k
High
$36.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1146 hospitals; the 90th percentile is 7.6× 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.
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1,655 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 | $33.9k | $33.9k | — | — | 115 | $33.9k – $33.9k |
| 2 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $7.3k | $7.3k | $385 | 5% | 50 | $6.9k – $7.7k |
| 3 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $2.2k | $2.2k | — | — | 48 | $2.2k – $2.2k |
| 4 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $6.5k | $6.5k | $342 | 5% | 30 | $6.2k – $6.8k |
| 5 | Mayo Clinic Rochester, MN facility · other · outpatient | 1 | $6.6k | $6.6k | — | — | 17 | $6.6k – $6.6k |
| 6 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $5.2k | $5.2k | — | — | 17 | $5.2k – $5.2k |
| 7 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $5.2k | $5.2k | — | — | 17 | $5.2k – $5.2k |
| 8 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $40.5k | $40.5k | — | — | 15 | $40.5k – $40.5k |
| 9 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $3.2k | $3.3k | $1.3k | 40% | 2–20 | $1.1k – $4.7k |
| 10 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $14.3k | $14.3k | $2.9k | 20% | 2–20 | $11.4k – $17.1k |
| 11 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $4.7k | $4.8k | $3.1k | 64% | 2–20 | $1.1k – $8.6k |
| 12 | Lake Regional Health System Osage Beach, MO fee schedule · both | 2 | $5.2k | $5.2k | $545 | 11% | 2–20 | $4.6k – $5.7k |
| 13 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $6.5k | $6.5k | $342 | 5% | 2–20 | $6.2k – $6.8k |
| 14 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $5.6k | $5.6k | — | — | 2–20 | $5.6k – $5.6k |
| 15 | Betsy Johnson Hospital Dunn, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 16 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 17 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 18 | Highsmith-Rainey Specialty Hospital Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $818 | $818 | — | — | 1–10 | $818 – $818 |
| 19 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 20 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 21 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 22 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 23 | Methodist Hospital St. Louis Park, MN facility · other · both | 2 | $5.0k | $5.0k | $176 | 3% | 1–10 | $4.9k – $5.2k |
| 24 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $32.9k | $32.9k | — | — | 1–10 | $32.9k – $32.9k |
| 25 | Riverside Hospital Inc Newport News, VA case rate · outpatient | 1 | $16.3k | $16.3k | — | — | 1–10 | $16.3k – $16.3k |
← Payers reporting CPT 66991 · Snapshot 20261112T181611Z-3fa9fb76