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
Non-Emergent Care Lvl 1 Est Pt
Low
$0
Average
$3.8k
Median
$91
High
$5650.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1560 hospitals; the 90th percentile is 12.6× 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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2,729 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 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $73 | $48 | 66% | 4,537 | $21 – $140 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $73 | $48 | 66% | 4,111 | $21 – $140 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $101 | $9 | 8% | 1,463 | $94 – $112 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $101 | $9 | 8% | 1,463 | $94 – $112 |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $55 | $11 | 20% | 1,020–1,038 | $41 – $68 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $8 | $9 | $4 | 43% | 947–956 | $8 – $22 |
| 7 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $8 | $11 | $6 | 51% | 798–807 | $8 – $22 |
| 8 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $70 | $54 | $23 | 42% | 673 | $22 – $70 |
| 9 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | — | — | 525 | $158 – $158 |
| 10 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | $25 | 41% | 516 | $36 – $85 |
| 11 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $70 | $54 | $23 | 42% | 455 | $22 – $70 |
| 12 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $123 | $123 | — | — | 415 | $123 – $123 |
| 13 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $45 | $97 | $77 | 80% | 407 | $40 – $206 |
| 14 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 1 | $8 | $8 | — | — | 377–386 | $8 – $8 |
| 15 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $71 | $71 | $2 | 3% | 314–323 | $71 – $75 |
| 16 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $217 | $231 | 107% | 312–501 | $22 – $750 |
| 17 | Novant Health Thomasville Medical Center, LLC Thomasville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 288 | $156 – $156 |
| 18 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $79 | $3 | 4% | 223 | $75 – $82 |
| 19 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $30 | $12 | 40% | 211 | $22 – $47 |
| 20 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $183 | $247 | $184 | 75% | 196 | $66 – $762 |
| 21 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $183 | $247 | $184 | 75% | 196 | $66 – $762 |
| 22 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 4 | $22 | $25 | $9 | 34% | 176 | $13 – $37 |
| 23 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $17.1k | $21.9k | $11.7k | 53% | 175–202 | $12.7k – $47.1k |
| 24 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 5 | $8 | $11 | $4 | 37% | 169 | $7 – $16 |
| 25 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $8 | $11 | $5 | 50% | 161–170 | $8 – $22 |
← Payers reporting CPT 99211 · Snapshot 20261111T120946Z-9134e7f7