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
$10
Average
$79
Median
$48
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1308 hospitals; the 90th percentile is 6.2× 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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1,901 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $69 | $76 | $12 | 16% | 69–114 | $58 – $89 |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 8 | $69 | $214 | $455 | 213% | 68–680 | $18 – $3.4k |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $77 | $7 | 9% | 24–33 | $76 – $112 |
| 4 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $111 | $126 | $90 | 72% | 18–180 | $24 – $367 |
| 5 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 1 | $4 | $4 | — | — | 17–170 | $4 – $4 |
| 6 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | 14–140 | $143 – $143 |
| 7 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 1 | $4 | $4 | — | — | 14–140 | $4 – $4 |
| 8 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $88 | $69 | 79% | 13–130 | $10 – $219 |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 12–120 | $80 – $80 |
| 10 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 7 | $119 | $108 | $30 | 28% | 8–80 | $56 – $138 |
| 11 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $24 | $24 | — | — | 8–80 | $24 – $24 |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $320 | $305 | $128 | 42% | 8–80 | $9 – $511 |
| 13 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | 8–80 | $121 – $121 |
| 14 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $496 | $496 | — | — | 7–70 | $496 – $496 |
| 15 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $190 | $190 | — | — | 6–60 | $190 – $190 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $140 | $126 | $40 | 32% | 5–50 | $29 – $156 |
| 17 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $57 | $45 | $16 | 35% | 5–50 | $26 – $58 |
| 18 | Progress West Hospital O'Fallon, MO fee schedule · both | 2 | $57 | $57 | $0 | 0% | 5–50 | $57 – $58 |
| 19 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $466 | $719 | $726 | 101% | 4–40 | $43 – $2.0k |
| 20 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $466 | $719 | $726 | 101% | 4–40 | $43 – $2.0k |
| 21 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $124 | $118 | $24 | 20% | 4–40 | $56 – $138 |
| 22 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 7 | $124 | $118 | $24 | 20% | 4–40 | $56 – $138 |
| 23 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 8 | $124 | $111 | $29 | 27% | 4–40 | $56 – $138 |
| 24 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 9 | $124 | $106 | $31 | 29% | 4–40 | $56 – $138 |
| 25 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 2 | $57 | $57 | $0 | 0% | 3–30 | $57 – $58 |
← Payers reporting CPT 83789 · Snapshot 20261111T120946Z-9134e7f7