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
Medical Service
Low
$1
Average
$8.4k
Median
$214
High
$10860.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1342 hospitals; the 90th percentile is 2.9× 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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2,319 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $396 | $388 | $79 | 20% | 2,366 | $288 – $480 |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $620 | $620 | — | — | 352 | $620 – $620 |
| 3 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $361 | $32 | 9% | 333–351 | $323 – $401 |
| 4 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $960 | $960 | — | — | 329 | $960 – $960 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $74 | $96 | $50 | 52% | 236 | $54 – $194 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $70 | $91 | $48 | 52% | 236 | $51 – $184 |
| 7 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ per diem · outpatient | 3 | $436 | $351 | $192 | 55% | 191 | $85 – $532 |
| 8 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ per diem · outpatient | 3 | $436 | $351 | $192 | 55% | 191 | $85 – $532 |
| 9 | McLean Hospital Belmont, MA percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | $34 | 16% | 165 | $186 – $255 |
| 10 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $181 | $3 | 2% | 148 | $178 – $184 |
| 11 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $380 | $380 | — | — | 143 | $380 – $380 |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $456 | $438 | $192 | 44% | 143 | $195 – $664 |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $163 | $164 | $61 | 37% | 127 | $99 – $267 |
| 14 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $160 | $158 | $5 | 3% | 126 | $150 – $164 |
| 15 | Carolinas Medical Center Davidson, NC other · outpatient | 4 | $140 | $140 | — | — | 108 | $140 – $140 |
| 16 | City Hospital, Inc. Martinsburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | 88 | $143 – $143 |
| 17 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $372 | $372 | $42 | 11% | 88 | $329 – $414 |
| 18 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 3 | $162 | $137 | $38 | 28% | 77–86 | $83 – $166 |
| 19 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $409 | $409 | $44 | 11% | 68 | $366 – $453 |
| 20 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $243 | $243 | — | — | 61 | $243 – $243 |
| 21 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $426 | $432 | $11 | 3% | 61–70 | $426 – $454 |
| 22 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $311 | — | — | 60 | $311 – $311 |
| 23 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | 58 | $93 – $93 |
| 24 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $470 | $470 | $8 | 2% | 54 | $462 – $477 |
| 25 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $359 | $359 | $21 | 6% | 54 | $338 – $380 |
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