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 Xe133 Dx per 10mci
Low
$1
Average
$390
Median
$259
High
$2.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
735 hospitals; the 90th percentile is 10.9× 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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1,091 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 7 | $225 | $197 | $68 | 35% | 2–20 | $132 – $382 |
| 2 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 1 | $152 | $152 | — | — | 2–20 | $152 – $152 |
| 3 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $472 | $472 | — | — | — | $472 – $472 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $545 | $545 | — | — | — | $545 – $545 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $403 | $403 | $58 | 14% | — | $345 – $460 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $223 | $251 | $156 | 62% | — | $100 – $460 |
| 9 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $63 | $56 | $25 | 45% | — | $11 – $79 |
| 10 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 11 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $277 | $322 | $95 | 30% | — | $248 – $485 |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $694 | $694 | — | — | — | $694 – $694 |
| 13 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $701 | $701 | — | — | — | $701 – $701 |
| 14 | Affinity Hospital LLC Birmingham, AL facility · per diem · outpatient | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $122 | $122 | $1 | 1% | — | $120 – $123 |
| 16 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 2 | $207 | $207 | — | — | — | $207 – $207 |
| 17 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $56 | $59 | $8 | 13% | — | $53 – $70 |
| 18 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $60 | $8 | 13% | — | $53 – $70 |
| 19 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $56 | $59 | $8 | 13% | — | $53 – $70 |
| 20 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $60 | $8 | 13% | — | $53 – $70 |
| 21 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $70 | $75 | $11 | 14% | — | $65 – $90 |
| 22 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $71 | $76 | $11 | 14% | — | $66 – $91 |
| 23 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $56 | $59 | $8 | 13% | — | $53 – $70 |
| 24 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $60 | $8 | 13% | — | $53 – $70 |
| 25 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $56 | $59 | $8 | 13% | — | $53 – $70 |
← Payers reporting HCPCS A9558 · Snapshot 20261111T120946Z-9134e7f7