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
ONC FAC NO MD REQ
Low
$1
Average
$3.7k
Median
$85
High
$5895.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1678 hospitals; the 90th percentile is 15.0× 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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2,979 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $9 | $9 | — | — | 5,836 | $9 – $9 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $92 | $100 | $18 | 18% | 5,516–5,561 | $83 – $134 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 4 | $97 | $103 | $20 | 19% | 5,511 | $83 – $134 |
| 4 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $9 | $9 | — | — | 4,619 | $9 – $9 |
| 5 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $129 | $73 | 56% | 1,214 | $55 – $253 |
| 6 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $57 | $57 | — | — | 605 | $57 – $57 |
| 7 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 17 | $125 | $131 | $36 | 28% | 557–962 | $57 – $192 |
| 8 | St. Lukes Hospital of Kansas City City, KS case rate · both | 17 | $70 | $75 | $14 | 19% | 555–780 | $39 – $97 |
| 9 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $76 | $3 | 4% | 494–512 | $72 – $78 |
| 10 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $64 | $64 | — | — | 490–499 | $64 – $64 |
| 11 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 463 | $131 – $131 |
| 12 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 3 | $11 | $11 | $4 | 31% | 455 | $8 – $15 |
| 13 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 4 | $27 | $26 | $9 | 34% | 343 | $13 – $36 |
| 14 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $0 | 1% | 312 | $56 – $58 |
| 15 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $22 | $26 | $5 | 21% | 301–310 | $21 – $33 |
| 16 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $57 | $57 | — | — | 293 | $57 – $57 |
| 17 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $62 | $79 | $49 | 61% | 274–292 | $18 – $145 |
| 18 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $194 | $262 | $196 | 75% | 274 | $70 – $809 |
| 19 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $194 | $262 | $196 | 75% | 274 | $70 – $809 |
| 20 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $49 | $49 | — | — | 270 | $49 – $49 |
| 21 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | $57 | 88% | 263 | $7 – $122 |
| 22 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | $42 | 33% | 256 | $84 – $168 |
| 23 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $17.1k | $18.9k | $5.5k | 29% | 231–249 | $12.7k – $29.3k |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 223–232 | $59 – $59 |
| 25 | Novant Health Thomasville Medical Center, LLC Thomasville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $159 | $159 | $3 | 2% | 208–217 | $156 – $162 |
← Payers reporting CPT 99211 · Snapshot 20261112T181611Z-3fa9fb76