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 SUP RC 274 A4565
Low
$0
Average
$39
Median
$12
High
$2.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
956 hospitals; the 90th percentile is 14.2× 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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1,348 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 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 17 | $58 | $59 | $12 | 20% | 48–156 | $33 – $73 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | $1 | 6% | 36 | $16 – $19 |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $24 | $23 | $8 | 35% | 32 | $5 – $30 |
| 4 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $34 | $51 | 150% | 31–310 | $4 – $245 |
| 5 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $11 | $49 | $84 | 172% | 29–290 | $3 – $285 |
| 6 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 2 | $10 | $44 | $79 | 177% | 29–290 | $2 – $315 |
| 7 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $4 | $4 | — | — | 25 | $4 – $4 |
| 8 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $23 | $72 | $153 | 211% | 23–230 | $5 – $1.1k |
| 9 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $11 | $29 | $64 | 221% | 21–210 | $6 – $286 |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $16 | $7 | 45% | 20 | $7 – $37 |
| 11 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $18 | $55 | $77 | 138% | 16–160 | $0 – $210 |
| 12 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $15 | $5 | 33% | 14–140 | $4 – $22 |
| 13 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $9 | $9 | — | — | 13–130 | $9 – $9 |
| 14 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $44 | $47 | $34 | 73% | 12–120 | $4 – $124 |
| 15 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | $0 | 1% | 12–120 | $5 – $5 |
| 16 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $84 | $76 | $40 | 53% | 12–120 | $13 – $130 |
| 17 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 5 | $24 | $26 | $4 | 15% | 11 | $24 – $34 |
| 18 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $8 | $179 | $347 | 194% | 10–100 | $6 – $1.0k |
| 19 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | $1 | 11% | 9–90 | $8 – $11 |
| 20 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $118 | $211 | 180% | 9–90 | $5 – $563 |
| 21 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $186 | $211 | $56 | 26% | 8–80 | $167 – $304 |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $237 | $368 | 155% | 7–70 | $5 – $925 |
| 23 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 3 | $45 | $53 | $42 | 80% | 6–60 | $4 – $161 |
| 24 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 2 | $2 | $212 | $311 | 147% | 6–60 | $1 – $814 |
| 25 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $4 | $140 | $218 | 156% | 6–60 | $2 – $724 |
← Payers reporting HCPCS A4565 · Snapshot 20261111T120946Z-9134e7f7