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
$0
Average
$10.8k
Median
$194
High
$13353.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1268 hospitals; the 90th percentile is 3.7× 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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2,197 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 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $374 | $374 | — | — | 521 | $374 – $374 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $368 | $353 | $155 | 44% | 521 | $151 – $556 |
| 3 | Brattleboro Retreat Brattleboro, VT outpatient | 2 | $96 | $96 | $4 | 4% | 376 | $92 – $100 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 6 | $129 | $168 | $85 | 51% | 278 | $75 – $286 |
| 5 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $160 | $181 | $37 | 20% | 233–242 | $150 – $233 |
| 6 | Denver Health and Hospital Authority Denver, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $453 | $453 | — | — | 216 | $453 – $453 |
| 7 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 3 | $209 | $188 | $37 | 20% | 125 | $124 – $211 |
| 8 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $100 | $100 | $34 | 34% | 123 | $66 – $134 |
| 9 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $225 | $229 | $62 | 27% | 116 | $157 – $311 |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $371 | $371 | — | — | 93 | $371 – $371 |
| 11 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 2 | $282 | $282 | $44 | 16% | 76 | $238 – $327 |
| 12 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $139 | $145 | $62 | 43% | 68 | $76 – $227 |
| 13 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $538 | $538 | — | — | 65 | $538 – $538 |
| 14 | Baystate Wing Hospital Palmer, MA other · both | 1 | $93 | $93 | — | — | 58 | $93 – $93 |
| 15 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $214 | — | — | 57 | $214 – $214 |
| 16 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $164 | $219 | $87 | 40% | 51–60 | $151 – $342 |
| 17 | Sanford USD Medical Center Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $282 | $282 | $38 | 13% | 43 | $244 – $320 |
| 18 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · both | 4 | $137 | $137 | $20 | 14% | 38 | $114 – $159 |
| 19 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $156 | $156 | — | — | 38 | $156 – $156 |
| 20 | Baystate Medical Center Springfield, MA other · both | 1 | $148 | $148 | — | — | 34 | $148 – $148 |
| 21 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $80 | $179 | $171 | 96% | 34 | $80 – $475 |
| 22 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $345 | $314 | $44 | 14% | 32 | $252 – $345 |
| 23 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 2 | $133 | $133 | $30 | 23% | 31–40 | $103 – $163 |
| 24 | St Luke's Nampa Medical Center, LTD Nampa, ID other · outpatient | 1 | $151 | $151 | — | — | 29 | $151 – $151 |
| 25 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $614 | $614 | $346 | 56% | 27–270 | $269 – $960 |
← Payers reporting CPT 90837 · Snapshot 20261112T124536Z-e251e855