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
$1.3k
Median
$53
High
$2564.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2121 hospitals; the 90th percentile is 11.3× 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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3,531 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 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 87 | $49 – $49 |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $131 | $131 | $26 | 20% | 85–103 | $101 – $160 |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $131 | $131 | $26 | 20% | 85–103 | $101 – $160 |
| 4 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 1 | $21 | $21 | — | — | 85 | $21 – $21 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $455 | $683 | $506 | 74% | 84 | $129 – $1.5k |
| 6 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $84 | $99 | $51 | 51% | 56–182 | $23 – $190 |
| 7 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $41 | $41 | — | — | 45 | $41 – $41 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $318 | $236 | 74% | 42 | $60 – $676 |
| 9 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $145 | $194 | $162 | 83% | 36 | $31 – $744 |
| 10 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | $14 | 100% | 36–45 | $0 – $28 |
| 11 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | $14 | 100% | 36–45 | $0 – $28 |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | — | — | 34 | $202 – $202 |
| 13 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $320 | $320 | $118 | 37% | 34 | $202 – $437 |
| 14 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $152 | $152 | $11 | 7% | 32–41 | $141 – $162 |
| 15 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | $9 | 26% | 23 | $25 – $42 |
| 16 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $152 | $152 | $11 | 7% | 23–32 | $141 – $162 |
| 17 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $21 | $21 | — | — | 22 | $21 – $21 |
| 18 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $23 | $5 | 20% | 21–102 | $18 – $27 |
| 19 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $111 | $111 | — | — | 20 | $111 – $111 |
| 20 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 17 | $21 – $21 |
| 21 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $60 | $60 | $3 | 5% | 16–25 | $57 – $64 |
| 22 | The Toledo Hospital Maumee, OH facility · other · outpatient | 3 | $38 | $39 | $1 | 2% | 16 | $38 – $40 |
| 23 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | — | — | 16–25 | $41 – $41 |
| 24 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $201 | $201 | $174 | 86% | 13 | $28 – $375 |
| 25 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | $16 | 13% | 13 | $114 – $147 |
← Payers reporting CPT 83921 · Snapshot 20261111T120946Z-9134e7f7