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
$8
Average
$1.8k
Median
$91
High
$3274.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2022 hospitals; the 90th percentile is 5.8× 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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3,246 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $522 | $522 | — | — | 643 | $522 – $522 |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $78 | $78 | $6 | 8% | 408–417 | $72 – $84 |
| 3 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $593 | $780 | $386 | 49% | 208 | $430 – $1.3k |
| 4 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $217 | $267 | $113 | 42% | 208 | $178 – $454 |
| 5 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $593 | $780 | $386 | 49% | 208 | $430 – $1.3k |
| 6 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $217 | $267 | $113 | 42% | 208 | $178 – $454 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $98 | $154 | $100 | 65% | 143 | $70 – $295 |
| 8 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $78 | $78 | $6 | 8% | 117–126 | $72 – $84 |
| 9 | Lake Regional Health System Osage Beach, MO fee schedule · both | 9 | $70 | $70 | $1 | 2% | 86–140 | $66 – $70 |
| 10 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 5 | $84 | $75 | $15 | 20% | 83–128 | $42 – $84 |
| 11 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $78 | $78 | $6 | 8% | 82 | $72 – $84 |
| 12 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $415 | $676 | $540 | 80% | 75–750 | $165 – $3.0k |
| 13 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $274 | $274 | — | — | 72 | $274 – $274 |
| 14 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $114 | $114 | $5 | 5% | 64 | $109 – $119 |
| 15 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $53 | $18 | 33% | 47 | $35 – $71 |
| 16 | Eskenazi Health Indianapolis, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $224 | $224 | — | — | 35 | $224 – $224 |
| 17 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $250 | $227 | $51 | 23% | 32 | $153 – $283 |
| 18 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $321 | $384 | $177 | 46% | 32–95 | $112 – $696 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $387 | $462 | $114 | 25% | 32 | $340 – $625 |
| 20 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 2 | $242 | $242 | $79 | 33% | 30 | $163 – $321 |
| 21 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $268 | $268 | $177 | 66% | 30–39 | $91 – $445 |
| 22 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $321 | $281 | $100 | 36% | 28–91 | $57 – $399 |
| 23 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | 26 | $247 – $247 |
| 24 | Cooley Dickinson Hospital Northampton, MA percent of total billed charges · bothfrom % of charges | 1 | $455 | $455 | — | — | 26 | $455 – $455 |
| 25 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $189 | $190 | $4 | 2% | 26–71 | $185 – $196 |
← Payers reporting CPT 87801 · Snapshot 20261112T124536Z-e251e855