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
PR PREV MED NEW PAT 65+ YRS
Low
$1
Average
$204
Median
$164
High
$4.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
693 hospitals; the 90th percentile is 4.5× 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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1,111 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 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $414 | $414 | — | — | 26–44 | $414 – $414 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $168 | $206 | $83 | 40% | 21–30 | $129 – $321 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $516 | $516 | — | — | 19–28 | $516 – $516 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $414 | $414 | — | — | 16–25 | $414 – $414 |
| 5 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 17 | $216 | $230 | $46 | 20% | 6–60 | $125 – $360 |
| 6 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $114 | $114 | — | — | 5–50 | $114 – $114 |
| 7 | Baystate Medical Center Springfield, MA other · both | 1 | $233 | $233 | — | — | 3–30 | $233 – $233 |
| 8 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $504 | $504 | — | — | 3–30 | $504 – $504 |
| 9 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $385 | $47 | 12% | 2–20 | $338 – $432 |
| 10 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | 2–20 | $186 – $186 |
| 11 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | 2–20 | $186 – $186 |
| 12 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | $101 | 59% | 2–20 | $70 – $271 |
| 13 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $385 | $47 | 12% | 2–20 | $338 – $432 |
| 14 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 3 | $171 | $165 | $14 | 8% | 2–20 | $146 – $178 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $165 | $164 | $12 | 7% | 2–20 | $146 – $178 |
| 16 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $157 | $184 | $43 | 23% | 2–20 | $150 – $244 |
| 17 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $362 | $362 | — | — | 2–20 | $362 – $362 |
| 18 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 17 | $105 | $91 | $22 | 24% | 2–20 | $51 – $105 |
| 19 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 20 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 8 | $205 | $203 | $35 | 17% | 1–10 | $165 – $270 |
| 21 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 22 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 23 | Hospital Authority of Colquitt County Moultrie, GA percent of total billed charges · bothfrom % of charges | 1 | $234 | $234 | — | — | 1–10 | $234 – $234 |
| 24 | Kaweah Health Medical Center Visalia, CA facility · other · outpatient | 2 | $259 | $259 | $19 | 7% | 1–10 | $240 – $278 |
| 25 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
← Payers reporting CPT 99387 · Snapshot 20261112T181611Z-3fa9fb76