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
HB Ref Selenium, RBC (Arup)
Low
$5
Average
$59
Median
$35
High
$1.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2065 hospitals; the 90th percentile is 5.8× 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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3,364 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 | $28 | $28 | $2 | 8% | 29 | $26 – $31 |
| 2 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 3 | $181 | $130 | $72 | 56% | 29 | $28 – $181 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $133 | $190 | $148 | 78% | 26–260 | $49 – $621 |
| 4 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 3 | $36 | $56 | $36 | 64% | 14 | $26 – $107 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $44 | $59 | $35 | 59% | 13 | $26 – $107 |
| 6 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 13 | $26 – $26 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 11 | $60 – $60 |
| 8 | Samaritan Hospital Troy, NY facility · other · both | 1 | $64 | $64 | — | — | 5–50 | $64 – $64 |
| 9 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $34 | $32 | $10 | 31% | 4–40 | $15 – $43 |
| 10 | St Peters Hospital Albany, NY facility · other · both | 1 | $64 | $64 | — | — | 4–40 | $64 – $64 |
| 11 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $63 | $12 | 19% | 3–30 | $46 – $80 |
| 12 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 5 | $26 | $40 | $31 | 77% | 3–30 | $23 – $102 |
| 13 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 3 | $69 | $98 | $40 | 41% | 3–30 | $69 – $154 |
| 14 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $34 | $31 | $11 | 35% | 3–30 | $15 – $43 |
| 15 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $28 | $28 | $2 | 8% | 2–20 | $26 – $31 |
| 16 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 2 | $28 | $28 | $2 | 8% | 2–20 | $26 – $31 |
| 17 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $305 | $305 | — | — | 2–20 | $305 – $305 |
| 18 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $31 | $47 | $31 | 66% | 2–20 | $11 – $89 |
| 19 | DIGNITY COMMUNITY CARE Redwood City, CA fee schedule · outpatient | 4 | $19 | $21 | $8 | 39% | 2–20 | $13 – $31 |
| 20 | Donalsonville Hospital Donalsonville, GA percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | 2–20 | $181 – $181 |
| 21 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $15 | 60% | 2–20 | $10 – $39 |
| 22 | Lake Regional Health System Osage Beach, MO fee schedule · both | 9 | $26 | $25 | $0 | 2% | 2–20 | $24 – $26 |
| 23 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $305 | $305 | — | — | 2–20 | $305 – $305 |
| 24 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $184 | $160 | $53 | 33% | 2–20 | $42 – $184 |
| 25 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $110 | $110 | — | — | 2–20 | $110 – $110 |
← Payers reporting CPT 84255 · Snapshot 20261112T124536Z-e251e855