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
$5
Average
$25
Median
$5
High
$1.8k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
201 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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216 hospital rates
iThe hospitals that file a Medicare 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $5 | $5 | — | — | 89 | $5 – $5 |
| 2 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $5 | $5 | — | — | 55 | $5 – $5 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $46 | $46 | — | — | 48 | $46 – $46 |
| 4 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | 36 | $66 – $66 |
| 5 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $5 | $5 | — | — | 28 | $5 – $5 |
| 6 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | 22 | $17 – $17 |
| 7 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | 13 | $20 – $20 |
| 8 | Hospital Development Co Spencer, WV percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | 13 | $27 – $27 |
| 9 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $5 | $5 | — | — | 12 | $5 – $5 |
| 10 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $25 | $2 | 7% | 3–30 | $22 – $26 |
| 11 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $1 | 8% | 3–30 | $14 – $17 |
| 12 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $27 | $2 | 7% | 3–30 | $24 – $28 |
| 13 | Stephens County Hospital Toccoa, GA fee schedule · outpatient | 1 | $5 | $5 | — | — | 3–30 | $5 – $5 |
| 14 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 15 | Lompoc Valley Medical Center Lompoc, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 16 | Lowell General Hospital Lowell, MA other · both | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 17 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 2–20 | $26 – $26 |
| 18 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $24 | $24 | — | — | 2–20 | $24 – $24 |
| 19 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 1 | $19 | $19 | — | — | 2–20 | $19 – $19 |
| 20 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 21 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · outpatient | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 22 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 23 | St. Charles Prineville Prineville, OR percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 24 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 25 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 4 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting CPT 84300 · Snapshot 20261111T120946Z-9134e7f7