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
Hdr I192 Tx Source
Low
$7
Average
$2.3k
Median
$478
High
$73.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
932 hospitals; the 90th percentile is 5.9× 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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1,555 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 | Barnes Jewish Hospital St. Louis, MO other · both | 2 | $357 | $357 | — | — | 23–32 | $357 – $357 |
| 2 | Brigham and Women's Hospital Boston, MA other · both | 1 | $353 | $353 | — | — | 22 | $353 – $353 |
| 3 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $420 | $420 | — | — | 21–39 | $420 – $420 |
| 4 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 2 | $344 | $344 | — | — | 19 | $344 – $344 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $374 | $331 | $61 | 18% | 17 | $245 – $374 |
| 6 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $375 | $375 | — | — | 14 | $375 – $375 |
| 7 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $375 | $375 | — | — | 14 | $375 – $375 |
| 8 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $953 | $953 | — | — | 13 | $953 – $953 |
| 9 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $953 | $953 | — | — | 13 | $953 – $953 |
| 10 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 2 | $343 | $343 | $0 | 0% | 12–21 | $342 – $343 |
| 11 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 2 | $343 | $343 | $0 | 0% | 12–21 | $342 – $343 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $2.9k | $2.9k | $2.3k | 82% | 2–20 | $520 – $5.2k |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $950 | 65% | 2–20 | $520 – $2.4k |
| 14 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $581 | $581 | — | — | 2–20 | $581 – $581 |
| 15 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $490 | $486 | $45 | 9% | 2–20 | $433 – $548 |
| 16 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 4 | $654 | $653 | $44 | 7% | 2–20 | $601 – $705 |
| 17 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 2 | $539 | $539 | $13 | 2% | 2–20 | $526 – $552 |
| 18 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.3k | $877 | 68% | 2–20 | $389 – $2.4k |
| 19 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $1.2k | $1.2k | $77 | 7% | 2–20 | $1.0k – $1.2k |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.3k | $517 | 41% | 1–10 | $585 – $1.8k |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $2.3k | $1.2k | 55% | 1–10 | $585 – $3.5k |
| 22 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $2.1k | $1.9k | $854 | 46% | 1–10 | $716 – $2.8k |
| 23 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $399 | $400 | $2 | 0% | 1–10 | $399 – $403 |
| 24 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 25 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $656 | $656 | $127 | 19% | 1–10 | $529 – $782 |
← Payers reporting HCPCS C1717 · Snapshot 20261111T120946Z-9134e7f7