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 Omt 3-4 Body Regions
Low
$12
Average
$69
Median
$36
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
847 hospitals; the 90th percentile is 3.9× 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.
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1,405 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 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $43 | $46 | $10 | 22% | 34 | $29 – $66 |
| 2 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 4 | $49 | $47 | $12 | 25% | 23 | $29 – $66 |
| 3 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 1 | $23 | $23 | — | — | 13 | $23 – $23 |
| 4 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $46 | $48 | $8 | 18% | 3–30 | $36 – $65 |
| 5 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $21 | $21 | — | — | 3–30 | $21 – $21 |
| 6 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $21 | $21 | — | — | 3–30 | $21 – $21 |
| 7 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 3–30 | $60 – $60 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $21 | $21 | — | — | 2–20 | $21 – $21 |
| 9 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $129 | $129 | $5 | 4% | 2–20 | $125 – $134 |
| 10 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 2–20 | $25 – $25 |
| 11 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | $21 | 20% | 2–20 | $87 – $130 |
| 12 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $194 | $190 | $39 | 20% | 2–20 | $141 – $236 |
| 13 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $92 | $92 | $5 | 6% | 2–20 | $87 – $98 |
| 14 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $31 | $4 | 13% | 1–10 | $26 – $36 |
| 17 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 1–10 | $58 – $58 |
| 18 | MCLAREN MACOMB CLEMENS, MI percent of total billed chargesfrom % of charges | 1 | $53 | $53 | — | — | 1–10 | $53 – $53 |
| 19 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $123 | $125 | $3 | 3% | 1–10 | $123 – $131 |
| 20 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $276 | $276 | — | — | 1–10 | $276 – $276 |
| 21 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | 1–10 | $281 – $281 |
| 22 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 23 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · bothfrom % of charges | 1 | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 24 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 25 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
← Payers reporting CPT 98926 · Snapshot 20261111T120946Z-9134e7f7