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
$3
Average
$1.5k
Median
$33
High
$3274.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2242 hospitals; the 90th percentile is 9.4× 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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3,747 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · outpatient | 2 | $19 | $19 | $2 | 8% | 1,571 | $17 – $20 |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $19 | $19 | $2 | 8% | 729 | $17 – $20 |
| 3 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $35 | $35 | — | — | 454 | $35 – $35 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $71 | $61 | $33 | 54% | 424 | $17 – $96 |
| 5 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $19 | $19 | $2 | 8% | 385 | $17 – $20 |
| 6 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $19 | $19 | $1 | 7% | 375 | $18 – $20 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | $8 | 9% | 323–341 | $71 – $92 |
| 8 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · outpatient | 6 | $16 | $21 | $8 | 38% | 226–235 | $15 – $33 |
| 9 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 11 | $159 | $159 | — | — | 222–285 | $159 – $159 |
| 10 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | 152 | $79 – $79 |
| 11 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $19 | $19 | $2 | 8% | 146 | $17 – $20 |
| 12 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 3 | $197 | $138 | $84 | 61% | 131 | $18 – $197 |
| 13 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $70 | $70 | $12 | 17% | 124 | $58 – $82 |
| 14 | Parkland Health Center Farmington, MO fee schedule · both | 2 | $19 | $19 | $2 | 8% | 120 | $17 – $20 |
| 15 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · percent of total billed charges · bothfrom % of charges | 1 | $68 | $58 | $20 | 35% | 114–132 | $17 – $68 |
| 16 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $17 | $17 | — | — | 112 | $17 – $17 |
| 17 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $17 | $17 | — | — | 112 | $17 – $17 |
| 18 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · outpatient | 4 | $19 | $15 | $7 | 47% | 102–129 | $5 – $20 |
| 19 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | 102 | $51 – $51 |
| 20 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | 102 | $51 – $51 |
| 21 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 2 | $19 | $19 | $2 | 8% | 101 | $17 – $20 |
| 22 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 3 | $21 | $20 | $2 | 8% | 99–135 | $17 – $21 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $81 | $81 | $10 | 12% | 97 | $69 – $95 |
| 24 | Memorial Hospital Shiloh, IL fee schedule · both | 2 | $19 | $19 | $2 | 8% | 96 | $17 – $20 |
| 25 | Progress West Hospital O'Fallon, MO fee schedule · both | 2 | $19 | $19 | $2 | 8% | 92 | $17 – $20 |
← Payers reporting CPT 84481 · Snapshot 20261112T124536Z-e251e855