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 TBS TECHNICAL CALCULATION ONLY
Low
$1
Average
$149
Median
$126
High
$3.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1076 hospitals; the 90th percentile is 3.4× 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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1,528 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 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $313 | $232 | $145 | 62% | 852 | $27 – $369 |
| 2 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 541 | $188 – $188 |
| 3 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 3 | $132 | $122 | $26 | 21% | 465 | $87 – $147 |
| 4 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $217 | $190 | $63 | 33% | 431–458 | $50 – $217 |
| 5 | Mayo Clinic Rochester, MN facility · other · both | 1 | $108 | $108 | — | — | 257 | $108 – $108 |
| 6 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 231 | $188 – $188 |
| 7 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 12 | $300 | $300 | — | — | 169–241 | $300 – $300 |
| 8 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $95 | $95 | — | — | 150 | $95 – $95 |
| 9 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $69 | $69 | $30 | 43% | 79 | $39 – $99 |
| 10 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $86 | $94 | $17 | 18% | 77–95 | $79 – $117 |
| 11 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $94 | $94 | — | — | 58 | $94 – $94 |
| 12 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $256 | $222 | $67 | 30% | 33–42 | $89 – $256 |
| 13 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $42 | $42 | — | — | 31 | $42 – $42 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 24 | $45 – $45 |
| 15 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | 23 | $166 – $166 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $27 | $27 | — | — | 20 | $27 – $27 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $191 | $191 | $147 | 77% | 13 | $45 – $338 |
| 18 | Lafayette County Darlington, WI facility · other · inpatient | 2 | $224 | $224 | $11 | 5% | 2–20 | $213 – $235 |
| 19 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 2 | $237 | $219 | $38 | 17% | 2–20 | $144 – $237 |
| 20 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 2 | $237 | $213 | $50 | 23% | 2–20 | $114 – $237 |
| 21 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 2 | $237 | $214 | $47 | 22% | 2–20 | $119 – $237 |
| 22 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $168 | $176 | $60 | 34% | 2–20 | $116 – $252 |
| 23 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | 2–20 | $104 – $104 |
| 24 | Lafayette County Darlington, WI facility · other · outpatient | 1 | $235 | $235 | — | — | 1–10 | $235 – $235 |
| 25 | Lafayette County Darlington, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $129 | $129 | $21 | 16% | 1–10 | $109 – $150 |
← Payers reporting CPT 77091 · Snapshot 20261112T124536Z-e251e855