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
$4
Average
$28
Median
$24
High
$141
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
220 hospitals; the 90th percentile is 2.7× 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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271 hospital rates
iThe hospitals that file a Aetna Better Health 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 | Parkland Health Dallas, TX facility · other · both | 4 | $21 | $42 | $36 | 85% | 638–656 | $21 – $103 |
| 2 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | 285 | $95 – $95 |
| 3 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 1 | $21 | $21 | — | — | 263 | $21 – $21 |
| 4 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $24 | $24 | — | — | 77 | $24 – $24 |
| 5 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | $0 | 0% | 38 | $89 – $89 |
| 6 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $29 | $18 | 61% | 34 | $4 – $45 |
| 7 | The Carle Foundation Hospital Urbana, IL other · outpatient | 1 | $11 | $11 | — | — | 27 | $11 – $11 |
| 8 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 15 | $112 – $112 |
| 9 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $36 | $36 | — | — | 4–40 | $36 – $36 |
| 10 | Carle BroMenn Medical Center Normal, IL other · outpatient | 1 | $7 | $7 | — | — | 3–30 | $7 – $7 |
| 11 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $18 | $18 | — | — | 3–30 | $18 – $18 |
| 12 | Jackson Parish Hospital Jonesboro, LA facility · fee schedule · both | 1 | $24 | $24 | — | — | 2–20 | $24 – $24 |
| 13 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | $0 | 0% | 2–20 | $89 – $89 |
| 14 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | $0 | 0% | 2–20 | $89 – $89 |
| 15 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 16 | Davis Medical Center Elkins, WV facility · other · outpatient | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 17 | Deaconess Health System Union County Hospital Morganfield, KY facility · other · inpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 18 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 19 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 20 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 21 | Richland Memorial Hospital Inc Olney, IL other · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 22 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 23 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 24 | Wagoner Hospital Authority Wagoner, OK facility · fee schedule · both | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 25 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting CPT 87389 · Snapshot 20261112T124536Z-e251e855