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 T3, Total
Low
$0
Average
$1.4k
Median
$43
High
$2936.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2179 hospitals; the 90th percentile is 10.3× 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.
Filter by billing methodology
Filter by billing class
3,639 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 Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $50 | $64 | $30 | 47% | 190 | $20 – $116 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $124 | $18 | 15% | 163–172 | $101 – $146 |
| 3 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $183 | $145 | $83 | 57% | 162–180 | $30 – $222 |
| 4 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $183 | $145 | $83 | 57% | 162–180 | $30 – $222 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $161 | — | — | 137 | $161 – $161 |
| 6 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | 135 | $69 – $69 |
| 7 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $49 | $91 | $80 | 89% | 100 | $9 – $330 |
| 8 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $124 | $18 | 15% | 94–103 | $101 – $146 |
| 9 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | 82 | $69 – $69 |
| 10 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 79 | $89 – $89 |
| 11 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 6 | $163 | $141 | $58 | 41% | 69 | $15 – $188 |
| 12 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $202 | $202 | $20 | 10% | 67–76 | $183 – $222 |
| 13 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $94 | $94 | $18 | 19% | 60–69 | $76 – $112 |
| 14 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $94 | $94 | $18 | 19% | 60–69 | $76 – $112 |
| 15 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $48 | $104 | $96 | 93% | 58 | $29 – $290 |
| 16 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $133 | $85 | 64% | 44 | $13 – $193 |
| 17 | St Peters Hospital Albany, NY facility · other · both | 1 | $46 | $46 | — | — | 44 | $46 – $46 |
| 18 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 42 | $67 – $67 |
| 19 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 4 | $169 | $130 | $67 | 51% | 41 | $15 – $169 |
| 20 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | 39 | $54 – $54 |
| 21 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 1 | $14 | $14 | — | — | 36 | $14 – $14 |
| 22 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $69 | $69 | $4 | 5% | 33 | $66 – $73 |
| 23 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · outpatient | 2 | $95 | $95 | $81 | 85% | 32 | $14 – $175 |
| 24 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $259 | $259 | — | — | 31 | $259 – $259 |
| 25 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | 29 | $153 – $153 |
← Payers reporting CPT 84480 · Snapshot 20261111T120946Z-9134e7f7