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
Fee Schedule
Low
$51
Average
$225
Median
$186
High
$552
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 3.1× 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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22 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 8 | $52 | $51 | $14 | 27% | — | $35 – $65 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $132 | $132 | $9 | 7% | — | $123 – $141 |
| 3 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $132 | $132 | $9 | 7% | — | $123 – $141 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $132 | $132 | $9 | 7% | — | $123 – $141 |
| 5 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $132 | $132 | $9 | 7% | — | $123 – $141 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $132 | $132 | $9 | 7% | — | $123 – $141 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $132 | $132 | $9 | 7% | — | $123 – $141 |
| 8 | Baptist Memorial Hospital-Carroll County Huntingdon, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 9 | Baptist Memorial Hospital-Carroll County Huntingdon, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 10 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · fee schedule · outpatient | 2 | $603 | $603 | $62 | 10% | — | $541 – $665 |
| 11 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · per diem · outpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 12 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 13 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 3 | $185 | $208 | $32 | 16% | — | $185 – $254 |
| 14 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 15 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 16 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 3 | $163 | $163 | — | — | — | $163 – $163 |
| 17 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 3 | $239 | $258 | $131 | 51% | — | $113 – $410 |
| 18 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 3 | $163 | $163 | — | — | — | $163 – $163 |
| 19 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 3 | $163 | $163 | — | — | — | $163 – $163 |
| 20 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 21 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $371 | $371 | — | — | — | $371 – $371 |
| 22 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 2 | $434 | $434 | — | — | — | $434 – $434 |
← Payers reporting CPT 96102 · Snapshot 20261112T124536Z-e251e855