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
$2.2k
Median
$303
High
$1358.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
775 hospitals; the 90th percentile is 5.4× 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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1,232 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 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $170 | $172 | $5 | 3% | 109–118 | $170 – $181 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $186 | $176 | $79 | 45% | 82 | $54 – $280 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $215 | $213 | $8 | 4% | 81 | $202 – $220 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $214 | $214 | — | — | 39–48 | $214 – $214 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | 39 | $315 – $315 |
| 6 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $245 | $17 | 7% | 37–46 | $227 – $262 |
| 7 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $245 | $17 | 7% | 32–41 | $227 – $262 |
| 8 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $227 | $227 | $4 | 2% | 21 | $224 – $231 |
| 9 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $1.5k | $1.5k | $191 | 13% | 21–39 | $1.5k – $2.4k |
| 10 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 4 | $319 | $418 | $173 | 41% | 20–29 | $208 – $723 |
| 11 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 4 | $319 | $418 | $173 | 41% | 20–29 | $208 – $723 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $215 | $213 | $8 | 4% | 16 | $202 – $220 |
| 13 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | — | — | 13 | $190 – $190 |
| 14 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $211 | $212 | $13 | 6% | 6–60 | $191 – $231 |
| 15 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $328 | $328 | — | — | 5–50 | $328 – $328 |
| 16 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $249 | $14 | 5% | 4–40 | $237 – $272 |
| 17 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 2 | $167 | $165 | $8 | 5% | 3–30 | $152 – $175 |
| 18 | Northside Hospital, Inc. Atlanta, GA other · inpatient | 5 | $585 | $554 | $39 | 7% | 3–30 | $506 – $585 |
| 19 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 3 | $585 | $585 | — | — | 3–30 | $585 – $585 |
| 20 | Northside Hospital, Inc. Cumming, GA other · inpatient | 5 | $585 | $554 | $39 | 7% | 3–30 | $506 – $585 |
| 21 | Northside Hospital, Inc. Cumming, GA other · outpatient | 3 | $585 | $585 | — | — | 3–30 | $585 – $585 |
| 22 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $397 | $401 | $13 | 3% | 3–30 | $388 – $418 |
| 23 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | 2–20 | $315 – $315 |
| 24 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | 2–20 | $315 – $315 |
| 25 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | 2–20 | $315 – $315 |
← Payers reporting CPT 90750 · Snapshot 20261111T120946Z-9134e7f7