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
$5
Average
$1.7k
Median
$33
High
$3269.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2006 hospitals; the 90th percentile is 7.8× 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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3,248 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 6 | $245 | $208 | $131 | 63% | 61–133 | $3 – $523 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $14 | $16 | $9 | 56% | 55–73 | $5 – $32 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $93 | $8 | 9% | 27–270 | $92 – $135 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $243 | $243 | — | — | 26–116 | $243 – $243 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $294 | $363 | 124% | 23–230 | $18 – $1.7k |
| 6 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $243 | $243 | — | — | 20–200 | $243 – $243 |
| 7 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $27 | $27 | $2 | 8% | 20–29 | $25 – $29 |
| 8 | Progress West Hospital O'Fallon, MO fee schedule · both | 2 | $27 | $27 | $2 | 8% | 18–27 | $25 – $29 |
| 9 | Carlsbad Medical Center LLC Carlsbad, NM facility · other · outpatient | 1 | $32 | $32 | — | — | 17 | $32 – $32 |
| 10 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | $36 | 65% | 16 | $19 – $90 |
| 11 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | $57 | 25% | 16–25 | $173 – $286 |
| 12 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $27 | $27 | $2 | 7% | 15 | $25 – $29 |
| 13 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $238 | $203 | $108 | 53% | 14–140 | $27 – $362 |
| 14 | Lake Regional Health System Osage Beach, MO fee schedule · both | 9 | $24 | $24 | $0 | 2% | 13–31 | $23 – $24 |
| 15 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | 12–120 | $95 – $95 |
| 16 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 7 | $24 | $45 | $105 | 236% | 11–110 | $10 – $885 |
| 17 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $127 | $127 | — | — | 10–100 | $127 – $127 |
| 18 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 5 | $29 | $28 | $2 | 7% | 10–100 | $24 – $29 |
| 19 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $26 | 28% | 10–100 | $69 – $122 |
| 20 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $115 | $130 | $91 | 70% | 6–60 | $24 – $344 |
| 21 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · inpatient | 1 | $12 | $12 | — | — | 6–60 | $12 – $12 |
| 22 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 2 | $83 | $104 | $52 | 50% | 6–60 | $15 – $174 |
| 23 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $650 | $896 | $921 | 103% | 6–60 | $93 – $2.8k |
| 24 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $650 | $896 | $921 | 103% | 6–60 | $93 – $2.8k |
| 25 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $29 | $29 | — | — | 5–50 | $29 – $29 |
← Payers reporting CPT 83789 · Snapshot 20261112T124536Z-e251e855