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 Cs Diff Phys<5Yrs 1St 15
Low
$0
Average
$331
Median
$168
High
$48.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1046 hospitals; the 90th percentile is 6.9× 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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1,705 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | — | — | 5–50 | $190 – $190 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $328 | $295 | $52 | 17% | 3–30 | $222 – $334 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $310 | $279 | $49 | 17% | 3–30 | $210 – $317 |
| 4 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | 2–20 | $135 – $135 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $24 | 9% | 2–20 | $236 – $300 |
| 6 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $464 | $464 | $4 | 1% | 2–20 | $459 – $468 |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $280 | $280 | — | — | 2–20 | $280 – $280 |
| 8 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $280 | $280 | — | — | 2–20 | $280 – $280 |
| 9 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | — | — | 2–20 | $140 – $140 |
| 10 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $1.6k | $1.5k | $94 | 6% | 2–20 | $1.3k – $1.6k |
| 11 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $1.6k | $1.5k | $94 | 6% | 2–20 | $1.3k – $1.6k |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 6 | $266 | $201 | $87 | 43% | 2–20 | $94 – $302 |
| 13 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 4 | $205 | $147 | $78 | 53% | 2–20 | $51 – $214 |
| 14 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC other · outpatient | 2 | $29 | $29 | — | — | 2–20 | $29 – $29 |
| 15 | Carolinas Medical Center Charlotte, NC other · outpatient | 1 | $61 | $61 | — | — | 1–10 | $61 – $61 |
| 16 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 17 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 18 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL percent of total billed charges · bothfrom % of charges | 1 | $516 | $516 | — | — | 1–10 | $516 – $516 |
| 19 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $965 | $833 | $187 | 23% | 1–10 | $568 – $965 |
| 20 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 21 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $78 | 66% | 1–10 | $40 – $197 |
| 22 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $48.0k | $48.0k | — | — | 1–10 | $48.0k – $48.0k |
| 23 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC other · outpatient | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $203 | $221 | $39 | 18% | 1–10 | $186 – $275 |
| 25 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $264 | $264 | — | — | — | $264 – $264 |
← Payers reporting CPT 99155 · Snapshot 20261112T181611Z-3fa9fb76