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
TRAY FOLEY SURESTEP 16F LTX
Low
$1
Average
$23
Median
$19
High
$355
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
466 hospitals; the 90th percentile is 2.1× 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.
Filter by billing methodology
Filter by billing class
521 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 | Tufts Medical Center BOSTON, MA other · both | 1 | $34 | $36 | $5 | 13% | 4–40 | $33 – $44 |
| 2 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | 2–20 | $28 – $28 |
| 3 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $2 | 9% | 2–20 | $19 – $23 |
| 4 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | 1–10 | $150 – $150 |
| 5 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 8 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $10 | $9 | $0 | 2% | — | $9 – $10 |
| 9 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $18 | $16 | $5 | 29% | — | $9 – $20 |
| 10 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $21 | $21 | $0 | 1% | — | $20 – $21 |
| 11 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 12 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 16 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 17 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 6 | $5 | $5 | $2 | 31% | — | $2 – $7 |
| 19 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 2 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 20 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 5 | $4 | $4 | $1 | 29% | — | $4 – $7 |
| 21 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 2 | $32 | $45 | $38 | 83% | — | $9 – $108 |
| 22 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 25 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting HCPCS A4311 · Snapshot 20261111T120946Z-9134e7f7