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
1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes
Low
$19
Average
$367
Median
$113
High
$17.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
706 hospitals; the 90th percentile is 4.2× 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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1,081 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 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $15.5k | $17.3k | $11.6k | 67% | 776–803 | $5.9k – $30.6k |
| 2 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 184 | $285 – $285 |
| 3 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | 48 | $48 – $48 |
| 4 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $19.9k | $14.7k | $7.3k | 50% | 46–73 | $5.7k – $20.9k |
| 5 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 2 | $62 | $62 | — | — | 31–40 | $62 – $62 |
| 6 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $284 | $284 | — | — | 29 | $284 – $284 |
| 7 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 3 | $108 | $102 | $12 | 11% | 24 | $86 – $112 |
| 8 | Lake Charles Memorial Hospital Charles., LA other · outpatient | 1 | $81 | $81 | — | — | 21 | $81 – $81 |
| 9 | SOUTH COUNTY HEALTH Greenwich, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $2.5k | $2.9k | 115% | 9–90 | $75 – $7.7k |
| 10 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $10 | $10 | — | — | 6–60 | $10 – $10 |
| 11 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $57 | $4 | 8% | 4–40 | $53 – $61 |
| 12 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $247 | $266 | $67 | 25% | 4–40 | $198 – $372 |
| 13 | Hospital for Special Surgery White Plains, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 14 | Hospital for Special Surgery New York, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 15 | Hospital for Special Surgery Water Mill, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 16 | Hospital for Special Surgery New York, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 17 | Hospital for Special Surgery Fresh Meadows, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 18 | Hospital for Special Surgery Brooklyn, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 19 | Hospital for Special Surgery New York, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 20 | Hospital for Special Surgery New York, NY fee schedule · both | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 21 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $73 | $87 | $25 | 29% | 2–20 | $48 – $124 |
| 22 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 3 | $74 | $93 | $27 | 29% | 2–20 | $73 – $131 |
| 23 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · inpatient | 5 | $73 | $98 | $54 | 54% | 2–20 | $45 – $182 |
| 24 | Brattleboro Retreat Brattleboro, VT both | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 25 | Buchanan County Health Center Independence, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | 1–10 | $81 – $81 |
← Payers reporting CPT 99221 · Snapshot 20261111T120946Z-9134e7f7