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
$5
Average
$1.6k
Median
$32
High
$3269.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2185 hospitals; the 90th percentile is 10.4× 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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3,612 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 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $24 | $24 | $2 | 8% | 284 | $22 – $25 |
| 2 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $24 | $24 | $2 | 8% | 109 | $22 – $25 |
| 3 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $21 | $21 | — | — | 74 | $21 – $21 |
| 4 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $21 | $21 | — | — | 74 | $21 – $21 |
| 5 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $24 | $24 | $2 | 7% | 60 | $22 – $25 |
| 6 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 3 | $21 | $33 | $26 | 79% | 55 | $9 – $69 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $21 | $34 | $25 | 75% | 46 | $11 – $69 |
| 8 | Parkland Health Center Farmington, MO fee schedule · both | 2 | $24 | $24 | $2 | 8% | 44 | $22 – $25 |
| 9 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 3 | $80 | $126 | $109 | 87% | 42 | $21 – $276 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 1 | $28 | $28 | — | — | 37 | $28 – $28 |
| 11 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $24 | $24 | $2 | 8% | 36 | $22 – $25 |
| 12 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $283 | $333 | $160 | 48% | 36–243 | $159 – $744 |
| 13 | University of Virginia Medical Center Charlottesville, VA per diem · both | 2 | $72 | $72 | $26 | 36% | 35 | $46 – $97 |
| 14 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $16 | $16 | — | — | 32 | $16 – $16 |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $22 | $22 | — | — | 28 | $22 – $22 |
| 16 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $24 | $24 | $2 | 8% | 26–35 | $22 – $25 |
| 17 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $34 | $34 | — | — | 26 | $34 – $34 |
| 18 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 3 | $15 | $17 | $3 | 16% | 25 | $15 – $21 |
| 19 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 24 | $165 – $165 |
| 20 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 23 | $165 – $165 |
| 21 | SAINT JOSEPH HEALTH SYSTEM, INC Lexington, KY fee schedule · outpatient | 4 | $22 | $52 | $52 | 101% | 23 | $21 – $141 |
| 22 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 23 | $21 – $21 |
| 23 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 22 | $31 – $31 |
| 24 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $63 | $63 | $23 | 36% | 20–200 | $39 – $90 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 3 | $29 | $40 | $21 | 52% | 17 | $21 – $69 |
← Payers reporting CPT 83921 · Snapshot 20261111T120946Z-9134e7f7