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
SENSITIVITIES FSI
Low
$3
Average
$45
Median
$19
High
$4.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1764 hospitals; the 90th percentile is 7.3× 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.
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2,760 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 | Jackson Parish Hospital Jonesboro, LA facility · fee schedule · both | 2 | $22 | $22 | $16 | 75% | 47–56 | $6 – $38 |
| 2 | Jackson Parish Hospital Jonesboro, LA facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | $12 | 45% | 4–40 | $15 – $38 |
| 3 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $16 | $16 | $1 | 8% | 2–20 | $15 – $18 |
| 4 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $16 | $16 | $1 | 8% | 2–20 | $15 – $18 |
| 5 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · outpatient | 4 | $18 | $17 | $1 | 8% | 2–20 | $15 – $18 |
| 6 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 5 | $18 | $17 | $1 | 7% | 2–20 | $15 – $18 |
| 7 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $75 | $65 | $21 | 33% | 1–10 | $17 – $75 |
| 8 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $70 | $69 | $24 | 35% | 1–10 | $45 – $94 |
| 9 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $0 | 1% | 1–10 | $35 – $35 |
| 10 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 11 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $235 | $235 | — | — | 1–10 | $235 – $235 |
| 12 | Parkland Health Center Farmington, MO fee schedule · both | 2 | $16 | $16 | $1 | 8% | 1–10 | $15 – $18 |
| 13 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 14 | St Peters Hospital Albany, NY facility · other · both | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 15 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 16 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $15 | $16 | $1 | 9% | 1–10 | $15 – $18 |
| 17 | University of Virginia Medical Center Charlottesville, VA per diem · both | 2 | $72 | $72 | $26 | 36% | 1–10 | $46 – $97 |
| 18 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $15 | $11 | $5 | 40% | — | $5 – $15 |
| 19 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $32 | $1 | 2% | — | $31 – $32 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | $1 | 3% | — | $37 – $39 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $137 | $137 | $4 | 3% | — | $133 – $141 |
| 25 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
← Payers reporting CPT 87118 · Snapshot 20261112T181611Z-3fa9fb76