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
Fee Schedule
Low
$96
Average
$3.1k
Median
$856
High
$29.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 7.4× 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.
Filter by billing methodology
Filter by billing class
23 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 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO per diem · inpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 2 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO per diem · outpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 3 | CENTERPOINT MEDICAL CENTER Independence, MO per diem · inpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 4 | CENTERPOINT MEDICAL CENTER Independence, MO per diem · outpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 5 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $913 | $913 | $0 | 0% | — | $913 – $913 |
| 6 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $2.8k | $2.8k | $146 | 5% | — | $2.6k – $2.9k |
| 7 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 5 | $111 | $96 | $38 | 40% | — | $34 – $147 |
| 8 | HealthAlliance Hospital Kingston, NY facility · fee schedule · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 9 | HealthAlliance Hospital Kingston, NY facility · other · outpatient | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 10 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $360 | $360 | $17 | 5% | — | $342 – $377 |
| 11 | LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO per diem · inpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 12 | LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO per diem · outpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 13 | MENORAH MEDICAL CENTER Overland Park, KS per diem · inpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 14 | MENORAH MEDICAL CENTER Overland Park, KS per diem · outpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 15 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $429 | $429 | — | — | — | $429 – $429 |
| 16 | Margaretville Memorial Hospital Margaretville, NY facility · other · outpatient | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 17 | Margaretville Memorial Hospital Margaretville, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $360 | $360 | $17 | 5% | — | $342 – $377 |
| 18 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $29.4k | $29.4k | — | — | — | $29.4k – $29.4k |
| 19 | Novant Health Stokes Medical Center, LLC Danbury, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | OVERLAND PARK REGIONAL MEDICAL CENTER OLATHE, KS per diem · inpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 21 | OVERLAND PARK REGIONAL MEDICAL CENTER OLATHE, KS per diem · outpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 22 | RESEARCH MEDICAL CENTER KANSAS CITY, MO per diem · inpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 23 | RESEARCH MEDICAL CENTER KANSAS CITY, MO per diem · outpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
← Payers reporting HCPCS C1300 · Snapshot 20261113T090226Z-3ce6c0b8