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
RL-A-HA UN 30143
Low
$0
Average
$1.4k
Median
$49
High
$2562.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2034 hospitals; the 90th percentile is 16.3× 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
3,373 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 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $26.8k | $26.8k | — | — | 129 | $26.8k – $26.8k |
| 2 | DIGNITY HEALTH Long Beach, CA fee schedule · outpatient | 3 | $75 | $78 | $23 | 30% | 51 | $45 – $104 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $119 | $178 | $126 | 71% | 37–370 | $37 – $439 |
| 4 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $385 | $385 | $130 | 34% | 21 | $255 – $515 |
| 5 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $231 | $231 | $24 | 11% | 21 | $206 – $255 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | $45 | 35% | 20 | $85 – $175 |
| 7 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $173 | $173 | $12 | 7% | 17–26 | $161 – $186 |
| 8 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $173 | $173 | $12 | 7% | 17–26 | $161 – $186 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $64 | $64 | $2 | 4% | 15–150 | $61 – $66 |
| 10 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $197 | $195 | $18 | 9% | 14–23 | $174 – $220 |
| 11 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | 13 | $59 – $59 |
| 12 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $59 | $50 | $22 | 44% | 12–120 | $13 – $66 |
| 13 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $62 | $55 | $29 | 53% | 12–120 | $13 – $96 |
| 14 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $26.1k | $26.1k | — | — | 11 | $26.1k – $26.1k |
| 15 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $91 | $109 | $70 | 64% | 8–80 | $26 – $237 |
| 16 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $97 | $56 | 57% | 7–70 | $32 – $180 |
| 17 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $13 | $13 | — | — | 6–60 | $13 – $13 |
| 18 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $96 | $62 | 65% | 6–60 | $43 – $232 |
| 19 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $391 | $388 | $5 | 1% | 5–50 | $379 – $391 |
| 20 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 4 | $100 | $111 | $52 | 47% | 5–50 | $37 – $207 |
| 21 | Methodist Hospitals of Dallas Dallas, TX fee schedule · both | 8 | $53 | $44 | $16 | 37% | 4–40 | $13 – $60 |
| 22 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $102 | $53 | 52% | 4–40 | $57 – $206 |
| 23 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $97 | $51 | 52% | 4–40 | $54 – $195 |
| 24 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 3–30 | $165 – $165 |
| 25 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | 3–30 | $91 – $91 |
← Payers reporting CPT 85520 · Snapshot 20261111T120946Z-9134e7f7