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 PROGR DEV EVAL IMPLT SUBQ ICD
Low
$13
Average
$249
Median
$72
High
$27.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
965 hospitals; the 90th percentile is 15.7× 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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1,639 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 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $77 | $97 | $61 | 63% | 4–40 | $36 – $253 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $165 | $165 | $13 | 8% | 2–20 | $151 – $178 |
| 3 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $304 | $372 | $133 | 36% | 2–20 | $254 – $558 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $90 | $16 | 17% | 2–20 | $68 – $102 |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $95 | $85 | $15 | 17% | 2–20 | $64 – $97 |
| 6 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $437 | $437 | — | — | 1–10 | $437 – $437 |
| 7 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 2 | $48 | $40 | $11 | 29% | 1–10 | $24 – $48 |
| 8 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 9 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $324 | $324 | — | — | 1–10 | $324 – $324 |
| 10 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $377 | $377 | $54 | 14% | 1–10 | $323 – $430 |
| 11 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $238 | $238 | — | — | 1–10 | $238 – $238 |
| 12 | PIEDMONT MCDUFFIE HOSPITAL Thomson, GA per diem · both | 2 | $439 | $439 | — | — | 1–10 | $439 – $439 |
| 13 | Piedmont Augusta Augusta, GA per diem · both | 2 | $439 | $439 | — | — | 1–10 | $439 – $439 |
| 14 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $109 | $109 | $11 | 10% | 1–10 | $97 – $120 |
| 15 | Tufts Medical Center BOSTON, MA other · both | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $93 | $76 | $24 | 32% | — | $42 – $93 |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $57 | $52 | $7 | 14% | — | $42 – $57 |
| 18 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $93 | $76 | $24 | 32% | — | $42 – $93 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $122 | $125 | $66 | 52% | — | $40 – $235 |
| 23 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $44 | $44 | $37 | 83% | — | $7 – $81 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $33 | $33 | $28 | 83% | — | $5 – $61 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | $29 | 83% | — | $6 – $65 |
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