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
PR EXAM VISUAL FIELD EXTENDED
Low
$20
Average
$220
Median
$136
High
$27.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
961 hospitals; the 90th percentile is 4.4× 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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1,401 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 | $319 | $313 | $64 | 20% | 312 | $232 – $387 |
| 2 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $443 | $443 | $36 | 8% | 164–173 | $407 – $480 |
| 3 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $353 | $346 | $22 | 6% | 160–169 | $307 – $365 |
| 4 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $104 | $121 | $45 | 37% | 127–136 | $75 – $191 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $176 | $213 | $76 | 36% | 109–118 | $143 – $319 |
| 6 | Boston Medical Center Boston, MA other · both | 1 | $155 | $155 | — | — | 94 | $155 – $155 |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $337 | $337 | — | — | 69 | $337 – $337 |
| 8 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | — | — | 69 | $75 – $75 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $279 | $268 | $16 | 6% | 69 | $245 – $280 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | $8 | 7% | 66 | $104 – $120 |
| 11 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $294 | $294 | $59 | 20% | 61–70 | $235 – $353 |
| 12 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $388 | $388 | — | — | 57 | $388 – $388 |
| 13 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $305 | $305 | — | — | 36 | $305 – $305 |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | 36 | $305 – $305 |
| 15 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $383 | $383 | — | — | 33 | $383 – $383 |
| 16 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 5 | $45 | $52 | $27 | 52% | 31–40 | $17 – $102 |
| 17 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $121 | $121 | — | — | 29 | $121 – $121 |
| 18 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $64 | $64 | — | — | 29 | $64 – $64 |
| 19 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $133 | $133 | — | — | 28 | $133 – $133 |
| 20 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $247 | $247 | — | — | 20–29 | $247 – $247 |
| 21 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | 16 | $184 – $184 |
| 22 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $401 | $401 | — | — | 15 | $401 – $401 |
| 23 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $134 | $134 | — | — | 12 | $134 – $134 |
| 24 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $52 | $31 | 60% | 11 | $28 – $96 |
| 25 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $52 | $31 | 60% | 11 | $28 – $96 |
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