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
$34
Average
$174
Median
$121
High
$663
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 6.9× 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.
Filter by billing methodology
Filter by billing class
74 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 | $93 | $91 | $25 | 27% | — | $62 – $115 |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $118 | $118 | $72 | 61% | — | $46 – $190 |
| 3 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 4 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $72 | $82 | $17 | 21% | — | $68 – $105 |
| 5 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $115 | $115 | $75 | 65% | — | $41 – $190 |
| 6 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 7 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 3 | $48 | $68 | $29 | 42% | — | $48 – $109 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $154 | $154 | $36 | 23% | — | $118 – $190 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $117 | $117 | $73 | 63% | — | $44 – $190 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $117 | $117 | $73 | 63% | — | $44 – $190 |
| 11 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 12 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 3 | $48 | $64 | $30 | 47% | — | $39 – $107 |
| 13 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $113 | $113 | $77 | 68% | — | $36 – $190 |
| 14 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $63 | $75 | $22 | 29% | — | $57 – $107 |
| 16 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $203 | $203 | $14 | 7% | — | $189 – $216 |
| 17 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $203 | $203 | $14 | 7% | — | $189 – $216 |
| 18 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $203 | $203 | $14 | 7% | — | $189 – $216 |
| 19 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $203 | $203 | $14 | 7% | — | $189 – $216 |
| 20 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $203 | $203 | $14 | 7% | — | $189 – $216 |
| 21 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $203 | $203 | $14 | 7% | — | $189 – $216 |
| 22 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 23 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 3 | $164 | $184 | $29 | 16% | — | $164 – $225 |
| 24 | Connecticut Children's Hartford, CT per diem · inpatient | 1 | $663 | $663 | — | — | — | $663 – $663 |
| 25 | Connecticut Children's Hartford, CT per diem · outpatient | 1 | $663 | $663 | — | — | — | $663 – $663 |
← Payers reporting CPT 96111 · Snapshot 20261112T124536Z-e251e855