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 SEROTONIN 4901UA
Low
$0
Average
$1.4k
Median
$66
High
$2571.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2020 hospitals; the 90th percentile is 8.2× 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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3,320 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $98 | $151 | $154 | 102% | 12–120 | $19 – $752 |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $81 | $81 | $49 | 61% | 9–90 | $14 – $163 |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 2–20 | $48 – $48 |
| 4 | KARMANOS CANCER CENTER DETROIT, MI percent of total billed chargesfrom % of charges | 1 | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 5 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $193 | $193 | $11 | 6% | 2–20 | $182 – $204 |
| 6 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $193 | $193 | $11 | 6% | 2–20 | $182 – $204 |
| 7 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | 2–20 | $16 – $16 |
| 8 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 9 | Christian Hospital St. Louis, MO fee schedule · both | 3 | $31 | $39 | $11 | 28% | 1–10 | $31 – $54 |
| 10 | HCA FLORIDA TRINITY HOSPITAL TAMPA, FL percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $1 | 22% | 1–10 | $3 – $4 |
| 11 | Ketchikan Medial Center Ketchikan, AK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | 1–10 | $289 – $289 |
| 12 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 13 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $265 | $265 | — | — | 1–10 | $265 – $265 |
| 14 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $31 | $39 | $11 | 28% | 1–10 | $31 – $54 |
| 15 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $9 | 30% | 1–10 | $21 – $40 |
| 16 | Pana Community Hospital Association Pana, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $429 | $429 | $33 | 8% | 1–10 | $395 – $462 |
| 17 | SoutheastHEALTH Center of Stoddard County LLC dba Mercy Hospital Stoddard Dexter, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | 1–10 | $268 – $268 |
| 18 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 19 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 20 | The Toledo Hospital Maumee, OH facility · other · outpatient | 3 | $55 | $55 | — | — | 1–10 | $55 – $55 |
| 21 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 22 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 23 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ fee schedule · outpatient | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 24 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 25 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ fee schedule · outpatient | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
← Payers reporting CPT 84260 · Snapshot 20261111T120946Z-9134e7f7