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 Free
Low
$0
Average
$1.5k
Median
$51
High
$2934.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2165 hospitals; the 90th percentile is 10.6× 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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3,658 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 | $108 | $91 | $36 | 40% | 1,087 | $26 – $137 |
| 2 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · outpatient | 3 | $17 | $21 | $6 | 28% | 284 | $17 – $29 |
| 3 | The Toledo Hospital Maumee, OH facility · other · outpatient | 3 | $40 | $40 | $1 | 3% | 225–234 | $40 – $42 |
| 4 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $53 | $11 | 21% | 187–205 | $39 – $66 |
| 5 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $53 | $11 | 21% | 187–205 | $39 – $66 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | $6 | 8% | 160 | $73 – $84 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $226 | $226 | — | — | 159 | $226 – $226 |
| 8 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 1 | $17 | $17 | — | — | 136 | $17 – $17 |
| 9 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $33 | $33 | — | — | 122 | $33 – $33 |
| 10 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | $14 | 17% | 119 | $68 – $96 |
| 11 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $146 | $146 | $28 | 19% | 114–123 | $118 – $174 |
| 12 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $146 | $146 | $28 | 19% | 114–123 | $118 – $174 |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | $11 | 38% | 106 | $17 – $39 |
| 14 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $65 | $130 | $131 | 101% | 106 | $10 – $439 |
| 15 | Christian Hospital St. Louis, MO fee schedule · both | 3 | $17 | $21 | $6 | 28% | 94 | $17 – $29 |
| 16 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $36 | $42 | $36 | 86% | 84 | $5 – $95 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 83 | $105 – $105 |
| 18 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 6 | $183 | $158 | $65 | 41% | 79 | $17 – $212 |
| 19 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $52 | $12 | 23% | 73–91 | $36 – $66 |
| 20 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $286 | $286 | — | — | 72 | $286 – $286 |
| 21 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $98 | $157 | $84 | 54% | 66–84 | $96 – $275 |
| 22 | SOUTH COUNTY HEALTH Greenwich, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | $27 | 62% | 64–73 | $17 – $72 |
| 23 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 63 | $48 – $48 |
| 24 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 63 | $48 – $48 |
| 25 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 59 | $42 – $42 |
← Payers reporting CPT 84481 · Snapshot 20261111T120946Z-9134e7f7