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 Drsg Cdxmr Iod 3in 1 Mode Wnd
Low
$0
Average
$7
Median
$3
High
$475
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
513 hospitals; the 90th percentile is 3.9× 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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586 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 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $4 | $8 | 187% | 9–90 | $0 – $30 |
| 2 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $6 | $8 | 144% | 8–80 | $0 – $30 |
| 3 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $11 | $13 | 122% | 6–60 | $0 – $42 |
| 4 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | $9 | 84% | 4–40 | $2 – $20 |
| 5 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $3 | $3 | 110% | 3–30 | $0 – $8 |
| 6 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $2 | $7 | $8 | 113% | 2–20 | $0 – $20 |
| 7 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 3 | $8 | $10 | $9 | 86% | 2–20 | $1 – $21 |
| 8 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 9 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $0 | 6% | 1–10 | $2 – $2 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 11 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $11 | $10 | 90% | — | $1 – $29 |
| 14 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $6 | $6 | 87% | — | $1 – $14 |
| 15 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $7 | $12 | $9 | 78% | — | $1 – $27 |
| 16 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 17 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $10 | $9 | 88% | — | $1 – $24 |
| 18 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $5 | $5 | $2 | 42% | — | $3 – $8 |
| 19 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $7 | $8 | 113% | — | $0 – $20 |
| 20 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 22 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 23 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 24 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 25 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS A6222 · Snapshot 20261111T120946Z-9134e7f7