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
professional
Low
$0
Average
$106
Median
$61
High
$7.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
734 hospitals; the 90th percentile is 6.0× 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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1,141 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $62 | $62 | $4 | 6% | 53 | $58 – $66 |
| 2 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $7 | 33% | 20 | $14 – $28 |
| 3 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | $2 | 5% | 13 | $46 – $50 |
| 4 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $187 | $169 | $46 | 27% | 6–60 | $81 – $207 |
| 5 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $187 | $169 | $46 | 27% | 6–60 | $81 – $207 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $45 | — | — | 2–20 | $45 – $45 |
| 7 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | $1 | 2% | 2–20 | $60 – $62 |
| 8 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | $0 | 0% | 2–20 | $113 – $113 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $122 | $122 | $37 | 31% | 2–20 | $85 – $160 |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $24 | $11 | 44% | 2–20 | $8 – $36 |
| 11 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 12 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $82 | $16 | 19% | 1–10 | $66 – $98 |
| 13 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $82 | $16 | 19% | 1–10 | $66 – $98 |
| 14 | MCLAREN LAPEER REGION LAPEER, MI percent of total billed chargesfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 15 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $36 | $1 | 3% | 1–10 | $35 – $38 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 17 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $7 | 33% | 1–10 | $14 – $28 |
| 18 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 3 | $173 | $160 | $109 | 68% | 1–10 | $0 – $339 |
| 19 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | $17 | 50% | — | $17 – $52 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $5 | 28% | — | $14 – $24 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $137 | $144 | $54 | 38% | — | $81 – $221 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $76 | $91 | $47 | 51% | — | $24 – $155 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $50 | $50 | $4 | 9% | — | $45 – $54 |
← Payers reporting CPT 90647 · Snapshot 20261111T120946Z-9134e7f7