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
FCP OPTH WATZKE SS TI SLV SPRD NS REUS
Low
$1
Average
$3.0k
Median
$860
High
$188.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
503 hospitals; the 90th percentile is 162.0× 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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708 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 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $90 | $97 | 107% | 26–260 | $12 – $326 |
| 2 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $63 | $246 | $714 | 290% | 26–260 | $2 – $4.5k |
| 3 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $47 | $58 | $35 | 59% | 11–110 | $29 – $155 |
| 4 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $6.4k | $9.0k | $7.4k | 82% | 4–40 | $2.6k – $20.8k |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $691 | $691 | $468 | 68% | 2–20 | $223 – $1.2k |
| 6 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $340 | $355 | 105% | — | $78 – $842 |
| 10 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $340 | $355 | 105% | — | $78 – $842 |
| 11 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $340 | $355 | 105% | — | $78 – $842 |
| 14 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $340 | $355 | 105% | — | $78 – $842 |
| 15 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · inpatientfrom % of charges | 1 | $393 | $393 | $255 | 65% | — | $138 – $648 |
| 20 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $393 | $393 | $255 | 65% | — | $138 – $648 |
| 21 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · inpatientfrom % of charges | 1 | $789 | $789 | — | — | — | $789 – $789 |
| 22 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · outpatientfrom % of charges | 1 | $789 | $789 | — | — | — | $789 – $789 |
| 23 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | $155 | 87% | — | $23 – $333 |
| 24 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $357 | $357 | $0 | 0% | — | $357 – $357 |
| 25 | Athens Hospital, LLC Athens, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $28 | $27 | $7 | 25% | — | $18 – $34 |
← Payers reporting HCPCS C1784 · Snapshot 20261111T120946Z-9134e7f7