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
$2.3k
Median
$254
High
$1515.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
768 hospitals; the 90th percentile is 7.5× 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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1,209 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 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | — | — | 246–264 | $299 – $299 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $220 | $217 | $5 | 2% | 240 | $210 – $220 |
| 3 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $153 | $153 | — | — | 202–220 | $153 – $153 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | — | — | 179–188 | $299 – $299 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $205 | $205 | — | — | 108–117 | $205 – $205 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $224 | $206 | $31 | 15% | 97–115 | $164 – $232 |
| 7 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $184 | $184 | — | — | 77 | $184 – $184 |
| 8 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 5 | $216 | $224 | $17 | 8% | 69–87 | $204 – $244 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $220 | $217 | $5 | 2% | 64 | $210 – $220 |
| 10 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $232 | $232 | — | — | 55–73 | $232 – $232 |
| 11 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $290 | $290 | — | — | 53 | $290 – $290 |
| 12 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $207 | $157 | $71 | 45% | 24–42 | $56 – $207 |
| 13 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $222 | $220 | $3 | 1% | 24–33 | $216 – $222 |
| 14 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | — | — | 15 | $251 – $251 |
| 15 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 2 | $207 | $187 | $41 | 22% | 14–32 | $104 – $207 |
| 16 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $232 | $233 | $131 | 56% | 13–130 | $66 – $400 |
| 17 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $207 | $182 | $50 | 27% | 13 | $83 – $207 |
| 18 | Fairview Health Services Minneapolis, MN other · outpatient | 2 | $316 | $316 | $84 | 27% | 8–80 | $232 – $400 |
| 19 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 3 | $333 | $261 | $116 | 45% | 6–60 | $94 – $362 |
| 20 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 2 | $199 | $200 | $9 | 4% | 6–60 | $190 – $219 |
| 21 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $209 | $205 | $10 | 5% | 3–30 | $191 – $216 |
| 22 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $207 | $180 | $54 | 30% | 3–30 | $72 – $207 |
| 23 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $209 | $206 | $10 | 5% | 3–30 | $192 – $216 |
| 24 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 2–20 | $133 – $133 |
| 25 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 2 | $160 | $160 | — | — | 2–20 | $160 – $160 |
← Payers reporting CPT 90750 · Snapshot 20261112T124536Z-e251e855