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 Phy Init 15M, 5Yr+
Low
$0
Average
$307
Median
$196
High
$8.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1142 hospitals; the 90th percentile is 7.4× 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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1,911 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 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $807 | $807 | — | — | 23–32 | $807 – $807 |
| 2 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $172 | $172 | — | — | 22 | $172 – $172 |
| 3 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $199 | $199 | — | — | 14 | $199 – $199 |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $197 | $197 | $16 | 8% | 11 | $181 – $213 |
| 5 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $156 | $156 | — | — | 6–60 | $156 – $156 |
| 6 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $108 | $2 | 2% | 4–40 | $106 – $111 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $236 | $305 | $160 | 52% | 4–40 | $171 – $615 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $223 | $289 | $151 | 52% | 4–40 | $162 – $582 |
| 9 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $956 | $956 | — | — | 3–30 | $956 – $956 |
| 10 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $289 | $292 | $9 | 3% | 3–30 | $283 – $305 |
| 11 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $316 | $316 | — | — | 2–20 | $316 – $316 |
| 12 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $432 | $433 | $23 | 5% | 2–20 | $406 – $460 |
| 13 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | $19 | 3% | 2–20 | $596 – $633 |
| 14 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | $11 | 5% | 2–20 | $190 – $212 |
| 15 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $532 | $532 | — | — | 2–20 | $532 – $532 |
| 16 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $237 | $198 | $86 | 43% | 2–20 | $42 – $267 |
| 17 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 5 | $237 | $199 | $85 | 43% | 2–20 | $45 – $267 |
| 18 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 5 | $557 | $514 | $163 | 32% | 1–10 | $220 – $679 |
| 19 | MCLAREN MACOMB CLEMENS, MI percent of total billed chargesfrom % of charges | 1 | $264 | $264 | — | — | 1–10 | $264 – $264 |
| 20 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 21 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $161 | $161 | — | — | 1–10 | $161 – $161 |
| 22 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $139 | $139 | — | — | 1–10 | $139 – $139 |
| 23 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 24 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 25 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $701 | $701 | — | — | 1–10 | $701 – $701 |
← Payers reporting CPT 99156 · Snapshot 20261111T120946Z-9134e7f7