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
NM WBC LIMITED SCAN
Low
$2
Average
$813
Median
$644
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1723 hospitals; the 90th percentile is 4.8× 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.
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3,119 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $232 | $232 | — | — | 731 | $232 – $232 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $232 | $232 | — | — | 455 | $232 – $232 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $542 | $542 | — | — | 170–179 | $542 – $542 |
| 4 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.5k | $1.2k | 76% | 9–90 | $407 – $3.2k |
| 5 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA percent of total billed charges · outpatientfrom % of charges | 2 | $4.2k | $4.3k | $1.9k | 45% | 4–40 | $2.3k – $6.4k |
| 6 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $392 | $406 | $20 | 5% | 3–30 | $392 – $434 |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $407 | $407 | — | — | 2–20 | $407 – $407 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $393 | $393 | — | — | 2–20 | $393 – $393 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $393 | $393 | — | — | 2–20 | $393 – $393 |
| 10 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $400 | $336 | $151 | 45% | 2–20 | $0 – $413 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 12 | Columbus Regional Hospital Columbus, IN other · both | 1 | $421 | $421 | — | — | 1–10 | $421 – $421 |
| 13 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $394 | $394 | — | — | 1–10 | $394 – $394 |
| 14 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 15 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 3 | $368 | $262 | $150 | 57% | 1–10 | $50 – $368 |
| 16 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 17 | Methodist Hospitals of Dallas Mansfield, TX other · both | 5 | $402 | $411 | $12 | 3% | 1–10 | $402 – $430 |
| 18 | Methodist Hospitals of Dallas Richardson, TX other · both | 5 | $402 | $410 | $12 | 3% | 1–10 | $402 – $430 |
| 19 | Methodist Hospitals of Dallas Richardson, TX other · both | 5 | $402 | $410 | $12 | 3% | 1–10 | $402 – $430 |
| 20 | Missouri Baptist Medical Center Saint Louis, MO other · both | 1 | $400 | $400 | — | — | 1–10 | $400 – $400 |
| 21 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT fee schedule · outpatient | 1 | $629 | $629 | — | — | 1–10 | $629 – $629 |
| 22 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $474 | $474 | — | — | 1–10 | $474 – $474 |
| 23 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ case rate · outpatient | 1 | $439 | $439 | — | — | 1–10 | $439 – $439 |
| 24 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ case rate · outpatient | 1 | $439 | $439 | — | — | 1–10 | $439 – $439 |
| 25 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $465 | $465 | $100 | 22% | — | $365 – $566 |
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