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
HC DI PYELOGRAM RETROGRADE
Low
$0
Average
$674
Median
$467
High
$101.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1967 hospitals; the 90th percentile is 6.1× 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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3,507 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 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $350 | $287 | $125 | 44% | 44 | $36 – $350 |
| 2 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $350 | $271 | $136 | 50% | 39 | $36 – $350 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $635 | $629 | $59 | 9% | 31–40 | $560 – $710 |
| 4 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 5 | $832 | $844 | $438 | 52% | 28 | $364 – $1.4k |
| 5 | SOUTH COUNTY HEALTH Greenwich, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $735 | $735 | — | — | 24 | $735 – $735 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $353 | $274 | $137 | 50% | 22 | $36 – $353 |
| 7 | STONESPRINGS HOSPITAL CENTER Dulles, VA percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | 15 | $19 – $19 |
| 8 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $202.1k | $202.1k | — | — | 15 | $202.1k – $202.1k |
| 9 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 11 | $1.3k – $1.3k |
| 10 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | 11 | $1.5k – $1.5k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $2.3k | $2.1k | 92% | 4–40 | $274 – $5.5k |
| 12 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $242 | $243 | $14 | 6% | 4–40 | $229 – $259 |
| 13 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $266 | $344 | $180 | 52% | 4–40 | $194 – $694 |
| 14 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $252 | $326 | $171 | 52% | 4–40 | $183 – $658 |
| 15 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $540 | $559 | $150 | 27% | 3–30 | $351 – $809 |
| 16 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $11 | 1% | 3–30 | $1.1k – $1.2k |
| 17 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $446 | $446 | — | — | 3–30 | $446 – $446 |
| 18 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 5 | $696 | $672 | $230 | 34% | 2–20 | $351 – $1.0k |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $1.4k | $865 | 62% | 2–20 | $309 – $2.8k |
| 20 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 21 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 22 | HCA FLORIDA FAWCETT HOSPITAL CAPE CORAL, FL percent of total billed charges · outpatientfrom % of charges | 3 | $172 | $576 | $647 | 112% | 2–20 | $68 – $1.5k |
| 23 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL percent of total billed charges · outpatientfrom % of charges | 1 | $6.1k | $6.1k | — | — | 2–20 | $6.1k – $6.1k |
| 24 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | 2–20 | $2.3k – $2.3k |
| 25 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $1.0k | $1.0k | $154 | 15% | 2–20 | $773 – $1.2k |
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