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
Pet dx for non-tumor id, noc
Low
$201
Average
$6.8k
Median
$2.9k
High
$19.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 24.9× 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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36 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $1k | $1k | — | — | — | $1k – $1k |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $3.7k | $3.7k | $0 | 0% | — | $3.7k – $3.7k |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $1k | $1k | — | — | — | $1k – $1k |
| 4 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 6 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $1k | $1k | — | — | — | $1k – $1k |
| 7 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $500 | $500 | $375 | 75% | — | $125 – $875 |
| 8 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $1k | $1k | — | — | — | $1k – $1k |
| 9 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $875 | $667 | $386 | 58% | — | $125 – $1k |
| 11 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 13 | Hardin County General Hospital Savannah, TN facility · other · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 6 | $16.2k | $15.7k | $4.4k | 28% | — | $10.1k – $20.8k |
| 15 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 6 | $15.0k | $15.3k | $2.7k | 17% | — | $12.2k – $18.8k |
| 16 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 6 | $21.7k | $19.5k | $4.1k | 21% | — | $13.7k – $22.9k |
| 17 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 6 | $17.6k | $18.3k | $2.6k | 14% | — | $15.4k – $21.7k |
| 18 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 6 | $14.0k | $13.7k | $566 | 4% | — | $13.0k – $14.3k |
| 19 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 6 | $16.2k | $16.6k | $3.3k | 20% | — | $12.7k – $20.8k |
| 20 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 6 | $17.6k | $16.6k | $1.9k | 11% | — | $14.0k – $18.3k |
| 21 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 6 | $16.2k | $16.6k | $3.3k | 20% | — | $12.7k – $20.8k |
| 22 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 6 | $21.7k | $19.5k | $4.1k | 21% | — | $13.7k – $22.9k |
| 23 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 6 | $17.6k | $16.5k | $1.9k | 12% | — | $13.8k – $18.2k |
| 24 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 6 | $16.2k | $16.6k | $3.3k | 20% | — | $12.7k – $20.8k |
| 25 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 6 | $13.0k | $13.3k | $495 | 4% | — | $12.9k – $14.0k |
← Payers reporting HCPCS A9598 · Snapshot 20261112T181611Z-3fa9fb76