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
$500
Median
$172
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 6.1× 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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64 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 2 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $135 | $24 | 18% | — | $111 – $159 |
| 3 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 7 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $232 | $232 | $9 | 4% | — | $224 – $241 |
| 8 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 9 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 3 | $224 | $209 | $33 | 16% | — | $164 – $241 |
| 10 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 11 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $397 | $397 | $5 | 1% | — | $392 – $402 |
| 12 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · percent of total billed charges · outpatientfrom % of charges | 2 | $479 | $479 | $47 | 10% | — | $432 – $526 |
| 13 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $257 | $295 | $155 | 52% | — | $124 – $534 |
| 14 | Connecticut Children's Hartford, CT per diem · inpatient | 2 | $417 | $417 | $22 | 5% | — | $395 – $439 |
| 15 | Connecticut Children's Hartford, CT per diem · outpatient | 2 | $417 | $417 | $22 | 5% | — | $395 – $439 |
| 16 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $610 | $610 | — | — | — | $610 – $610 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 18 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 19 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 20 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 21 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 22 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 23 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 24 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 25 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
← Payers reporting CPT 96111 · Snapshot 20261112T124536Z-e251e855