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
PR MNT INIT INDV EA 15MIN
Low
$0
Average
$70
Median
$47
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1854 hospitals; the 90th percentile is 4.1× 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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3,164 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $110 | — | — | 390 | $110 – $110 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $122 | $124 | $27 | 22% | 262 | $86 – $168 |
| 3 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $254 | — | — | 173 | $254 – $254 |
| 4 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $107 | $95 | $27 | 28% | 162–225 | $62 – $140 |
| 5 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 4 | $119 | $119 | $8 | 7% | 149–167 | $109 – $128 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $86 | $87 | $2 | 3% | 145–163 | $86 – $91 |
| 7 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $67 | $67 | $4 | 6% | 124 | $63 – $71 |
| 8 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $187 | $187 | — | — | 120 | $187 – $187 |
| 9 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $84 | $83 | $5 | 6% | 118 | $73 – $87 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 117 | $37 – $37 |
| 11 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 117 | $37 – $37 |
| 12 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $86 | $81 | $9 | 11% | 106 | $66 – $87 |
| 13 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $32 | $33 | $4 | 13% | 102 | $32 – $53 |
| 14 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 100 | $46 – $46 |
| 15 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | 100 | $95 – $95 |
| 16 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | 95 | $88 – $88 |
| 17 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $77 | $77 | — | — | 84 | $77 – $77 |
| 18 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $77 | $77 | $20 | 26% | 70–88 | $57 – $97 |
| 19 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $27 | $27 | — | — | 64 | $27 – $27 |
| 20 | Southeastern Regional Medical Center, Inc. Newnan, GA percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 62 | $26 – $26 |
| 21 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $216 | — | — | 57 | $216 – $216 |
| 22 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $7 | 7% | 56–65 | $89 – $102 |
| 23 | Piedmont Eastside Snellville, GA percent of total billed charges · bothfrom % of charges | 2 | $77 | $77 | — | — | 56–65 | $77 – $77 |
| 24 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $91 | $91 | — | — | 55 | $91 – $91 |
| 25 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $137 | $4 | 3% | 55 | $131 – $140 |
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