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
Mod Sed Same Phys/Qhp Each Addl 15 Mins
Low
$0
Average
$557
Median
$104
High
$517.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1503 hospitals; the 90th percentile is 19.7× 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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2,465 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $35 | $7 | 20% | 325–343 | $25 – $46 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | $6 | 15% | 269–287 | $31 – $46 |
| 3 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 188 | $207 – $207 |
| 4 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $73 | $104 | $70 | 67% | 157–175 | $26 – $240 |
| 5 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $11.9k | $11.9k | — | — | 102 | $11.9k – $11.9k |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $176 | $176 | $111 | 63% | 95 | $65 – $286 |
| 7 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 4 | $2.1k | $1.9k | $318 | 17% | 70–79 | $1.2k – $2.1k |
| 8 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $92 | $90 | $6 | 6% | 70–79 | $80 – $95 |
| 9 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | 54 | $20 – $20 |
| 10 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $205 | $205 | $12 | 6% | 54–63 | $193 – $217 |
| 11 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | 53 | $20 – $20 |
| 12 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 48 | $38 – $38 |
| 13 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $509 | $509 | $30 | 6% | 39–48 | $479 – $539 |
| 14 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | 34 | $20 – $20 |
| 15 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $234 | $234 | $4 | 2% | 26 | $230 – $238 |
| 16 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $235 | $235 | — | — | 26 | $235 – $235 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | 25 | $151 – $151 |
| 18 | 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 | $117 | $117 | — | — | 24 | $117 – $117 |
| 19 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $227 | $227 | — | — | 21 | $227 – $227 |
| 20 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $199 | $199 | — | — | 19 | $199 – $199 |
| 21 | Highland Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | 16 | $182 – $182 |
| 22 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $127 | $4 | 3% | 14 | $122 – $130 |
| 23 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 2 | $509 | $509 | $30 | 6% | 14 | $479 – $539 |
| 24 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | 14 | $77 – $77 |
| 25 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | 14 | $77 – $77 |
← Payers reporting CPT 99153 · Snapshot 20261111T120946Z-9134e7f7