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
Multi den insert direct form
Low
$17
Average
$35
Median
$36
High
$137
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 2.3× 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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24 hospital rates
iThe hospitals that file a Aetna Better Health 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 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 5 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 6 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 10 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 15 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 20 | RESEARCH MEDICAL CENTER KANSAS CITY, MO percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 21 | The Carle Foundation Hospital Urbana, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | The Carle Foundation Hospital Urbana, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · fee schedule · outpatient | 2 | $32 | $32 | $5 | 16% | — | $27 – $37 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI fee schedule | 1 | $37 | $37 | — | — | — | $37 – $37 |
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