Low
$60
Average
$96
Median
$61
High
$166
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3 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 2 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
← Payers reporting HCPCS A8004 · Snapshot 20261112T181611Z-3fa9fb76