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
HC NEWBORN PHENYLETONURIA SCREEN
Low
$1
Average
$45
Median
$15
High
$2.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1589 hospitals; the 90th percentile is 16.7× 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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2,542 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 | Progress West Hospital O'Fallon, MO fee schedule · both | 1 | $10 | $10 | — | — | 33 | $10 – $10 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | 18 | $67 – $67 |
| 3 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 13 | $92 – $92 |
| 4 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 6–60 | $70 – $70 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $59 | $63 | 106% | 4–40 | $18 – $167 |
| 6 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 2–20 | $13 – $13 |
| 7 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $22 | $11 | 48% | 2–20 | $10 – $40 |
| 8 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $8 | $8 | $2 | 18% | 2–20 | $7 – $11 |
| 9 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 10 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 11 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | — | — | 1–10 | $145 – $145 |
| 12 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 5 | $24 | $54 | $65 | 119% | 1–10 | $6 – $182 |
| 13 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | $2 | 47% | 1–10 | $3 – $7 |
| 14 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 15 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 16 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | 1–10 | $81 – $81 |
| 17 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 18 | Mission Regional Medical Center Mission, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 19 | Pampa Regional Medical Center Pampa, TX percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 20 | RESTON HOSPITAL CENTER Reston, VA percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 21 | SID Peterson Memorial Hospital Kerrville, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 1–10 | $188 – $188 |
| 22 | STONESPRINGS HOSPITAL CENTER Dulles, VA percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 23 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $110 | $111 | $3 | 3% | 1–10 | $109 – $116 |
| 24 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 1–10 | $54 – $54 |
| 25 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 3 | $83 | $82 | $6 | 7% | 1–10 | $75 – $89 |
← Payers reporting CPT 84030 · Snapshot 20261111T120946Z-9134e7f7