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 Calculi Risk Assessment Urine, Sodium (Arup)
Low
$0
Average
$1.5k
Median
$21
High
$3088.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2152 hospitals; the 90th percentile is 14.0× 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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3,617 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 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 1 | $5 | $5 | — | — | 31 | $5 – $5 |
| 2 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $11.6k | $11.6k | — | — | 29 | $11.6k – $11.6k |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $27 | $27 | $3 | 9% | 25–43 | $24 – $30 |
| 4 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $31 | $13 | 41% | 22–103 | $10 – $54 |
| 5 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | $4 | 7% | 21–30 | $54 – $63 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 20 | $49 – $49 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | 18 | $104 – $104 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $28 | $28 | $1 | 4% | 18–180 | $27 – $29 |
| 9 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $5 | 19% | 17–26 | $22 – $32 |
| 10 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $5 | 19% | 17–26 | $22 – $32 |
| 11 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $64 | $4 | 6% | 16 | $59 – $68 |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 16 | $68 – $68 |
| 13 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $10 | $10 | — | — | 13 | $10 – $10 |
| 14 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | $4 | 7% | 13–22 | $54 – $63 |
| 15 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $13 | $3 | 20% | 9–90 | $12 – $21 |
| 16 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $24 | $40 | $23 | 57% | 9–90 | $24 – $73 |
| 17 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | $6 | 35% | 8–80 | $10 – $23 |
| 18 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $36 | $21 | 59% | 8–80 | $15 – $57 |
| 19 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $23 | $41 | $38 | 92% | 8–80 | $4 – $155 |
| 20 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $25 | $17 | 66% | 7–70 | $3 – $57 |
| 21 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $25 | $11 | 44% | 6–60 | $9 – $36 |
| 22 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $24 | $8 | 32% | 6–60 | $16 – $31 |
| 23 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $89 | $90 | $23 | 26% | 6–60 | $65 – $117 |
| 24 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $43 | $44 | $15 | 33% | 5–50 | $25 – $69 |
| 25 | Pana Community Hospital Association Pana, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $25 | $6 | 25% | 4–40 | $18 – $38 |
← Payers reporting CPT 84300 · Snapshot 20261111T120946Z-9134e7f7