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
HC COM CON ALS AMBULANCE MILEAGE
Low
$3
Average
$14
Median
$12
High
$53
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
101 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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110 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 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $16 | $16 | $0 | 1% | — | $16 – $16 |
| 4 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $3 | 21% | — | $12 – $19 |
| 7 | Baptist Memorial Hospital-Booneville Booneville, MS facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Baptist Memorial Hospital-Booneville Booneville, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Baptist Memorial Hospital-Union County New Albany, MS facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Baptist Memorial Hospital-Union County New Albany, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $13 | $13 | $0 | 1% | — | $13 – $13 |
| 17 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $6 | $7 | $2 | 32% | — | $6 – $11 |
| 19 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 20 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 23 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $8 | $8 | $3 | 34% | — | $5 – $11 |
← Payers reporting HCPCS A0390 · Snapshot 20261111T120946Z-9134e7f7