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
facility
Low
$0
Average
$246
Median
$170
High
$30.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2064 hospitals; the 90th percentile is 30.1× 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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3,501 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $71 | 36% | 147 | $125 – $268 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $284 | $266 | $25 | 10% | 144–153 | $230 – $284 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $284 | $266 | $25 | 10% | 144–153 | $230 – $284 |
| 4 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $481 | $487 | $13 | 3% | 73 | $478 – $509 |
| 5 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $208 | — | — | 72 | $208 – $208 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $67 | $87 | $45 | 52% | 68 | $49 – $175 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $82 | $43 | 52% | 68 | $46 – $166 |
| 8 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $29 | $53 | $66 | 124% | 38–56 | $25 – $226 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $632 | $632 | — | — | 33 | $632 – $632 |
| 10 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $145 | $144 | $14 | 10% | 32–50 | $125 – $165 |
| 11 | Christian Hospital St. Louis, MO fee schedule · both | 1 | $11 | $11 | — | — | 27 | $11 – $11 |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $148 | $148 | — | — | 27–36 | $148 – $148 |
| 13 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $418 | $418 | — | — | 24–240 | $418 – $418 |
| 14 | Brigham and Women's Hospital Boston, MA other · both | 1 | $440 | $440 | — | — | 20 | $440 – $440 |
| 15 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $786 | $897 | $535 | 60% | 19–190 | $147 – $2.1k |
| 16 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $864 | $864 | — | — | 19 | $864 – $864 |
| 17 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $363 | $717 | $719 | 100% | 18–180 | $41 – $2.4k |
| 18 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | 16–25 | $141 – $141 |
| 19 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $73 | $73 | $14 | 19% | 15 | $59 – $87 |
| 20 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $73 | $73 | $14 | 19% | 15 | $59 – $87 |
| 21 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $116 | $116 | — | — | 13 | $116 – $116 |
| 22 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $92 | $10 | 11% | 13 | $83 – $109 |
| 23 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 13 | $1.3k – $1.3k |
| 24 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $204 | $149 | $74 | 50% | 12–120 | $21 – $217 |
| 25 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 4 | $221 | $255 | $130 | 51% | 12 | $96 – $497 |
← Payers reporting CPT 86902 · Snapshot 20261111T120946Z-9134e7f7