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
Urine Hexose Tetrasaccharide
Low
$0
Average
$1.6k
Median
$57
High
$2930.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1953 hospitals; the 90th percentile is 8.3× 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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3,214 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 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $48 | $65 | $22 | 34% | 57–570 | $12 – $90 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $324 | $309 | $130 | 42% | 41 | $9 – $517 |
| 3 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 33% | 41 | $16 – $32 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $93 | $8 | 9% | 27–270 | $91 – $135 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $199 | $487 | $602 | 123% | 23–230 | $31 – $2.8k |
| 6 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $223 | $223 | $16 | 7% | 22–112 | $207 – $239 |
| 7 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $223 | $223 | $16 | 7% | 20–200 | $207 – $239 |
| 8 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $78 | $79 | $2 | 3% | 18 | $78 – $83 |
| 9 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $64 | $173 | $257 | 148% | 17–170 | $23 – $1.2k |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $72 | $74 | $25 | 34% | 16–160 | $27 – $122 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $294 | $484 | $434 | 90% | 13–130 | $37 – $1.5k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $225 | $202 | 90% | 13–130 | $17 – $713 |
| 13 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 12–120 | $41 – $41 |
| 14 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $467 | $852 | $656 | 77% | 7–70 | $300 – $1.9k |
| 15 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $708 | $976 | $1.0k | 103% | 6–60 | $101 – $3.0k |
| 16 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $708 | $976 | $1.0k | 103% | 6–60 | $101 – $3.0k |
| 17 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | 5–50 | $90 – $90 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $264 | $263 | $4 | 1% | 5–50 | $255 – $264 |
| 19 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | 5–50 | $90 – $90 |
| 20 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $107 | $281 | $224 | 80% | 5–50 | $87 – $603 |
| 21 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $107 | $281 | $224 | 80% | 5–50 | $87 – $603 |
| 22 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $104 | $158 | $120 | 76% | 4–40 | $25 – $300 |
| 23 | DIGNITY HEALTH Santa Cruz, CA fee schedule · outpatient | 2 | $48 | $46 | $11 | 23% | 4–40 | $30 – $60 |
| 24 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 1 | $132 | $133 | $1 | 1% | 4–40 | $132 – $135 |
| 25 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $262 | $33 | 13% | 3–30 | $238 – $309 |
← Payers reporting CPT 83789 · Snapshot 20261111T120946Z-9134e7f7