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
CH PROTEIN TOT REFRACT
Low
$1
Average
$107
Median
$7
High
$19.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1180 hospitals; the 90th percentile is 4.7× 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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1,506 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $6 | $6 | — | — | 56 | $6 – $6 |
| 2 | Bridgton Hospital Bridgton, ME percent of total billed charges · outpatientfrom % of charges | 2 | $19 | $19 | $5 | 26% | 2–20 | $14 – $25 |
| 3 | Rumford Hospital Rumford, ME percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $6 | 33% | 2–20 | $12 – $23 |
| 4 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 5 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $90 | $100 | $78 | 78% | 1–10 | $18 – $202 |
| 6 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $7 | $7 | $1 | 19% | — | $6 – $8 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $9 | $9 | $3 | 36% | — | $6 – $12 |
| 8 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 3 | $39 | $40 | $13 | 32% | — | $24 – $55 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $6 | $6 | $3 | 55% | — | $0 – $12 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $7 | $7 | $1 | 11% | — | $6 – $7 |
| 11 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $7 | $9 | $4 | 40% | — | $6 – $14 |
| 12 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 3 | $17 | $15 | $7 | 49% | — | $5 – $23 |
| 13 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 14 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $6 | $6 | $0 | 1% | — | $6 – $6 |
| 16 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $5 | $5 | $1 | 11% | — | $5 – $6 |
| 17 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $23 | $23 | $18 | 76% | — | $6 – $41 |
| 19 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 4 | $10 | $10 | $2 | 26% | — | $6 – $12 |
| 20 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 4 | $10 | $10 | $2 | 26% | — | $6 – $12 |
| 21 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 4 | $10 | $10 | $2 | 26% | — | $6 – $12 |
| 23 | AdventHealth New Smyrna Beach New Smyrna Beach, FL fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 24 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 4 | $10 | $10 | $2 | 26% | — | $6 – $12 |
← Payers reporting CPT 84160 · Snapshot 20261112T181611Z-3fa9fb76