Low
$77
Average
$176
Median
$176
High
$275
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 2 | UnitedHealthcare facility · case rate · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
← Hospitals reporting CPT 97762-GO · Snapshot 20261110T202143Z-6f619f9d