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
Preventive Med New <1 Yr
Low
$2
Average
$10.3k
Median
$113
High
$6708.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
665 hospitals; the 90th percentile is 4.6× 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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1,044 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $227 | $227 | $31 | 14% | 66 | $196 – $258 |
| 2 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 6 | $117 | $97 | $37 | 38% | 51–69 | $37 – $132 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $110 | $109 | $8 | 7% | 35–53 | $98 – $119 |
| 4 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 3 | $129 | $108 | $37 | 34% | 30–48 | $45 – $130 |
| 5 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $341 | $341 | — | — | 23 | $341 – $341 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $106 | $123 | $28 | 23% | 20 | $100 – $162 |
| 7 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $278 | $278 | — | — | 20–29 | $278 – $278 |
| 8 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO case rate · outpatient | 1 | $452 | $452 | — | — | 20 | $452 – $452 |
| 9 | St Peters Hospital Albany, NY professional · fee schedule · both | 1 | $184 | $184 | — | — | 19 | $184 – $184 |
| 10 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $103 | $103 | — | — | 17 | $103 – $103 |
| 11 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $79 | $79 | — | — | 16 | $79 – $79 |
| 12 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $79 | $79 | — | — | 16 | $79 – $79 |
| 13 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $114 | $110 | $54 | 49% | 12–120 | $33 – $172 |
| 14 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $164 | $179 | $31 | 18% | 11 | $150 – $222 |
| 15 | Baystate Medical Center Springfield, MA other · both | 1 | $188 | $188 | — | — | 3–30 | $188 – $188 |
| 16 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 3 | $100 | $99 | $2 | 2% | 3–30 | $96 – $101 |
| 17 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $227 | $227 | $31 | 14% | 2–20 | $196 – $258 |
| 18 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | 2–20 | $128 – $128 |
| 19 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | 2–20 | $128 – $128 |
| 20 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $143 | $143 | $67 | 47% | 2–20 | $76 – $209 |
| 21 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $270 | — | — | 2–20 | $270 – $270 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 3 | $98 | $98 | $2 | 2% | 2–20 | $96 – $100 |
| 23 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · fee schedule · both | 1 | $114 | $114 | — | — | 2–20 | $114 – $114 |
| 24 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $263 | $263 | — | — | 2–20 | $263 – $263 |
| 25 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $278 | $278 | — | — | 2–20 | $278 – $278 |
← Payers reporting CPT 99381 · Snapshot 20261112T181611Z-3fa9fb76