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
facility
Low
$0
Average
$2.0k
Median
$670
High
$2050.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1927 hospitals; the 90th percentile is 5.7× 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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3,140 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $830 | $974 | $585 | 60% | 32 | $323 – $1.9k |
| 2 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $714 | $738 | $35 | 5% | 29–47 | $714 – $787 |
| 3 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $714 | $738 | $35 | 5% | 29–47 | $714 – $787 |
| 4 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $987 | $477 | 48% | 25 | $83 – $1.4k |
| 5 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $758 | $758 | $7 | 1% | 15–24 | $751 – $764 |
| 6 | St Peters Hospital Albany, NY facility · other · both | 1 | $1.8k | $1.8k | — | — | 5–50 | $1.8k – $1.8k |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $254 | $257 | $37 | 14% | 3–30 | $211 – $334 |
| 8 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 2 | $529 | $529 | $149 | 28% | 2–20 | $380 – $678 |
| 9 | Virtua_Willingboro_Hospital_Inc Willinboro, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $920 | $920 | $206 | 22% | 2–20 | $714 – $1.1k |
| 10 | Christian Hospital St. Louis, MO fee schedule · both | 3 | $557 | $692 | $192 | 28% | 1–10 | $557 – $963 |
| 11 | Eskenazi Health Indianapolis, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $371 | $371 | — | — | 1–10 | $371 – $371 |
| 12 | F.F. Thompson Hospital Canandaigua, NY percent of total billed charges · outpatientfrom % of charges | 1 | $368 | $368 | — | — | 1–10 | $368 – $368 |
| 13 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $557 | $692 | $192 | 28% | 1–10 | $557 – $963 |
| 14 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $202 | $202 | $12 | 6% | 1–10 | $190 – $214 |
| 15 | St Peters Hospital Albany, NY facility · other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 16 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $686 | $686 | $129 | 19% | — | $557 – $816 |
| 18 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $270 | $146 | 54% | — | $123 – $416 |
| 19 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 21 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 22 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 2 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 23 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 2 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $1.3k | $1.3k | $757 | 58% | — | $557 – $2.1k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 2 | $1 | $1 | $0 | 8% | — | $1 – $1 |
← Payers reporting CPT 81220 · Snapshot 20261111T120946Z-9134e7f7