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
HB-Cica Care Sheet, per Each
Low
$0
Average
$88
Median
$33
High
$1.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
208 hospitals; the 90th percentile is 23.4× 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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238 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $61 | $95 | $92 | 97% | 28–172 | $18 – $411 |
| 2 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $17 | $16 | 94% | 2–20 | $1 – $37 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $198 | $198 | — | — | 2–20 | $198 – $198 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $11 | $11 | $0 | 2% | — | $10 – $11 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $11 | $11 | $0 | 2% | — | $10 – $11 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Allina Health Systems Shakopee, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Allina Health Systems Owatonna, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Allina Health Systems Cambridge, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Allina Health Systems Faribualt, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Allina Health Systems Minneapolis, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Allina Health Systems Buffalo, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 19 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $432 | $432 | $72 | 17% | — | $360 – $503 |
| 20 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 2 | $432 | $432 | $72 | 17% | — | $360 – $503 |
| 21 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 2 | $432 | $432 | $72 | 17% | — | $360 – $503 |
| 22 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 2 | $432 | $432 | $72 | 17% | — | $360 – $503 |
| 23 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $432 | $432 | $72 | 17% | — | $360 – $503 |
| 24 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 2 | $432 | $432 | $72 | 17% | — | $360 – $503 |
| 25 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $432 | $432 | $72 | 17% | — | $360 – $503 |
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