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
HC Icd Program-Dual
Low
$16
Average
$288
Median
$93
High
$11.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1270 hospitals; the 90th percentile is 12.6× 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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2,135 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 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $16 | $16 | — | — | 47 | $16 – $16 |
| 2 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 5 | $100 | $113 | $65 | 58% | 20–38 | $37 – $240 |
| 3 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $152 | $173 | $65 | 37% | 18–27 | $104 – $274 |
| 4 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 4 | $98 | $107 | $64 | 60% | 14–23 | $41 – $240 |
| 5 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 2 | $68 | $68 | — | — | 13–22 | $68 – $68 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $366 | $366 | $67 | 18% | 11 | $298 – $433 |
| 7 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 1 | $39 | $39 | — | — | 11 | $39 – $39 |
| 8 | Mercy Health Hackley Campus Muskogen, MI facility · other · outpatient | 1 | $39 | $39 | — | — | 11 | $39 – $39 |
| 9 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $107 | $139 | $73 | 52% | 4–40 | $78 – $280 |
| 10 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $101 | $131 | $69 | 52% | 4–40 | $74 – $264 |
| 11 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | 4–40 | $178 – $178 |
| 12 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $60 | $17 | 28% | 3–30 | $45 – $84 |
| 13 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $60 | $17 | 28% | 3–30 | $45 – $84 |
| 14 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $328 | $279 | $53 | 19% | 3–30 | $221 – $328 |
| 15 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $37 | $35 | $4 | 12% | 2–20 | $28 – $37 |
| 16 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $84 | $84 | $3 | 4% | 2–20 | $80 – $87 |
| 17 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $177 | $177 | $0 | 0% | 2–20 | $176 – $177 |
| 18 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $319 | $319 | $29 | 9% | 2–20 | $290 – $347 |
| 19 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $128 | $126 | $26 | 20% | 2–20 | $93 – $156 |
| 20 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $283 | $278 | $17 | 6% | 2–20 | $246 – $293 |
| 21 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | 2–20 | $130 – $130 |
| 22 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $442 | $442 | $95 | 21% | 1–10 | $347 – $537 |
| 23 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 24 | Boston Medical Center Boston, MA other · both | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 25 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $190 | $190 | — | — | 1–10 | $190 – $190 |
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