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
ANES PT EXTEME AGE<1 YR&>70
Low
$11
Average
$134
Median
$156
High
$279
Each hospital's average Optum rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 6.4× 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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58 hospital rates
iThe hospitals that file a Optum 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 7 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Dukes Health System LLC Peru, IN facility · per diem · outpatient | 1 | $11 | $11 | $4 | 34% | — | $7 – $14 |
| 10 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 3 | $38 | $46 | $11 | 24% | — | $37 – $62 |
| 11 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 12 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 14 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 15 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · bothfrom % of charges | 2 | $60 | $60 | $3 | 5% | — | $57 – $63 |
| 16 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 17 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 18 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 19 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 20 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $166 | $169 | $7 | 4% | — | $162 – $178 |
| 21 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $216 | $250 | $49 | 19% | — | $216 – $319 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $100 | $113 | $28 | 25% | — | $87 – $153 |
| 23 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $158 | $158 | $6 | 4% | — | $153 – $164 |
| 24 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $158 | $158 | $6 | 4% | — | $153 – $164 |
← Payers reporting CPT 99100 · Snapshot 20261112T181611Z-3fa9fb76