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
SPECIAL REPORTS OR FORMS
Low
$0
Average
$79
Median
$23
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
263 hospitals; the 90th percentile is 13.2× 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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348 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 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $103 | $110 | $14 | 13% | — | $97 – $129 |
| 5 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $37 | $37 | $0 | 1% | — | $36 – $37 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $75 | $75 | — | — | — | $75 – $75 |
| 9 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Atoka County Medical Center Atoka, OK percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 14 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 15 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 17 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 18 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 19 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Baptist Memorial Hospital-Collierville Collierville, TN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 22 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $11 | $5 | 47% | — | $4 – $17 |
| 23 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $12 | $6 | 47% | — | $4 – $20 |
| 25 | Baptist Memorial Hospital-Memphis Memphis, TN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting CPT 99080 · Snapshot 20261113T090226Z-3ce6c0b8