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
Im Adm Thru 18yr Any Rte Addl Vac/Tox Compt
Low
$0
Average
$105
Median
$20
High
$20.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
821 hospitals; the 90th percentile is 9.8× 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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1,339 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $54 | $54 | — | — | 10,533 | $54 – $54 |
| 2 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 3 | $13 | $12 | $2 | 15% | 2,741 | $9 – $13 |
| 3 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 6 | $11 | $11 | $2 | 17% | 1,654–1,663 | $8 – $13 |
| 4 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $9 | $9 | — | — | 743 | $9 – $9 |
| 5 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $9 | $9 | — | — | 734 | $9 – $9 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | — | — | 607 | $38 – $38 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $77 | $2 | 3% | 498–507 | $76 – $80 |
| 8 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $34 | $3 | 9% | 493 | $31 – $37 |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | 341 | $94 – $94 |
| 10 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 304 | $98 – $98 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $35 | $38 | $7 | 18% | 273–282 | $32 – $47 |
| 12 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 231 | $26 – $26 |
| 13 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $965 | $965 | — | — | 222 | $965 – $965 |
| 14 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 198–207 | $41 – $41 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $12 | $12 | $0 | 1% | 154 | $12 – $12 |
| 16 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $41 | $36 | $10 | 27% | 145–154 | $17 – $41 |
| 17 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 123 | $26 – $26 |
| 18 | The University of Kansas Health System Great Bend Campus Bend, KS fee schedule · both | 6 | $9 | $10 | $3 | 28% | 115 | $7 – $13 |
| 19 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 105 | $80 – $80 |
| 20 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $41 | $36 | $11 | 30% | 91–100 | $15 – $41 |
| 21 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 14 | $24 | $41 | $34 | 83% | 90–180 | $24 – $128 |
| 22 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $8 | $11 | $5 | 41% | 87 | $8 – $18 |
| 23 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 6 | $11 | $11 | $2 | 17% | 73 | $8 – $13 |
| 24 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 63 | $76 – $76 |
| 25 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 2 | $28 | $25 | $4 | 17% | 49 | $17 – $28 |
← Payers reporting CPT 90461 · Snapshot 20261112T181611Z-3fa9fb76