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
AEP, THRESHOLD ESTIMATION AT MULT FRQ, W/ INTERP & RPT
Low
$22
Average
$501
Median
$326
High
$22k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1230 hospitals; the 90th percentile is 4.6× 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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1,978 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 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.7k | $1.4k | $550 | 39% | 182 | $455 – $1.7k |
| 2 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.3k | $577 | 45% | 46–55 | $292 – $1.6k |
| 3 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $648 | $648 | — | — | 26 | $648 – $648 |
| 4 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $1.2k | $1.2k | $32 | 3% | 22 | $1.2k – $1.3k |
| 5 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $880 | $880 | — | — | 18–27 | $880 – $880 |
| 6 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $363 | $363 | — | — | 17 | $363 – $363 |
| 7 | Phoenix Children's Hospital Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $844 | $844 | $195 | 23% | 16 | $649 – $1.0k |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $527 | $536 | $179 | 33% | 5–50 | $304 – $838 |
| 9 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $773 | $773 | — | — | 4–40 | $773 – $773 |
| 10 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $265 | $265 | $6 | 2% | 4–40 | $259 – $271 |
| 11 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | $70 | 6% | 4–40 | $1.1k – $1.3k |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $155 | $200 | $105 | 52% | 4–40 | $112 – $403 |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $146 | $189 | $99 | 52% | 4–40 | $106 – $382 |
| 14 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $999 | $979 | $199 | 20% | 4–40 | $726 – $1.2k |
| 15 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.2k | $552 | 44% | 3–30 | $301 – $1.6k |
| 16 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.2k | $577 | 47% | 3–30 | $241 – $1.6k |
| 17 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.2k | $577 | 47% | 3–30 | $241 – $1.6k |
| 18 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 3–30 | $1.5k – $1.5k |
| 19 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $267 | $267 | — | — | 2–20 | $267 – $267 |
| 20 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $33 | $33 | — | — | 2–20 | $33 – $33 |
| 21 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $580 | $580 | $0 | 0% | 2–20 | $580 – $580 |
| 22 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 6 | $918 | $956 | $526 | 55% | 2–20 | $78 – $1.8k |
| 23 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $425 | $425 | $7 | 2% | 2–20 | $418 – $432 |
| 24 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $230 | $230 | — | — | 2–20 | $230 – $230 |
| 25 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
← Payers reporting CPT 92652 · Snapshot 20261111T120946Z-9134e7f7