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
$1.3k
Median
$54
High
$2566.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2076 hospitals; the 90th percentile is 6.3× 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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3,439 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 | $48 | $56 | $25 | 45% | 2,022 | $20 – $105 |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $55 | $101 | $85 | 84% | 1,242 | $11 – $300 |
| 3 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | — | — | 858 | $230 – $230 |
| 4 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $190 | $187 | $27 | 15% | 781–790 | $152 – $219 |
| 5 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $190 | $187 | $27 | 15% | 665–674 | $152 – $219 |
| 6 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $66 | $66 | $3 | 5% | 658 | $62 – $69 |
| 7 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $123 | $123 | $24 | 20% | 598 | $99 – $148 |
| 8 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $123 | $123 | $24 | 20% | 598 | $99 – $148 |
| 9 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $156 | $156 | — | — | 446 | $156 – $156 |
| 10 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $156 | $156 | — | — | 408 | $156 – $156 |
| 11 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $135 | $134 | $12 | 9% | 372 | $119 – $151 |
| 12 | The Toledo Hospital Maumee, OH facility · other · outpatient | 3 | $56 | $57 | $2 | 3% | 293–311 | $56 – $60 |
| 13 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | 222 | $36 – $36 |
| 14 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $238 | $238 | — | — | 188 | $238 – $238 |
| 15 | Eskenazi Health Indianapolis, IN facility · percent of total billed charges · bothfrom % of charges | 2 | $69 | $69 | $7 | 10% | 183 | $62 – $76 |
| 16 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $143 | $143 | — | — | 177 | $143 – $143 |
| 17 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $48 | $50 | $15 | 30% | 176 | $32 – $81 |
| 18 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $17 | $42 | $38 | 90% | 162 | $10 – $91 |
| 19 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | — | — | 162 | $60 – $60 |
| 20 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 162 | $92 – $92 |
| 21 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | — | — | 162 | $60 – $60 |
| 22 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 162 | $92 – $92 |
| 23 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | 144 | $85 – $85 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $168 | $168 | $10 | 6% | 141 | $158 – $178 |
| 25 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $200 | $200 | — | — | 140 | $200 – $200 |
← Payers reporting CPT 87389 · Snapshot 20261111T120946Z-9134e7f7