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 2d Tte W or W/O Fol W/Contrast, F/U
Low
$48
Average
$1.0k
Median
$691
High
$88.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1298 hospitals; the 90th percentile is 4.3× 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
2,261 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $356 | $356 | — | — | 65 | $356 – $356 |
| 2 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $396 | $396 | — | — | 29 | $396 – $396 |
| 3 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $349 | $349 | — | — | 28 | $349 – $349 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $515 | $624 | $284 | 46% | 28–55 | $363 – $1.1k |
| 5 | Fairview Health Services Edina, MN other · inpatient | 3 | $1.0k | $833 | $335 | 40% | 26–35 | $361 – $1.1k |
| 6 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $386 | $386 | — | — | 22 | $386 – $386 |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 2 | $513 | $513 | $188 | 37% | 22–31 | $324 – $701 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $899 | $743 | $307 | 41% | 21 | $313 – $1.0k |
| 9 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 2 | $527 | $527 | $180 | 34% | 20–29 | $347 – $707 |
| 10 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 1 | $369 | $369 | — | — | 17 | $369 – $369 |
| 11 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 1 | $369 | $369 | — | — | 17 | $369 – $369 |
| 12 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $343 | $343 | — | — | 16 | $343 – $343 |
| 13 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $343 | $343 | — | — | 16 | $343 – $343 |
| 14 | Fairview Health Services Burnsville, MN other · inpatient | 3 | $950 | $808 | $329 | 41% | 15–33 | $353 – $1.1k |
| 15 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 3 | $950 | $802 | $323 | 40% | 15–33 | $353 – $1.1k |
| 16 | St Luke's Nampa Medical Center, LTD Nampa, ID other · outpatient | 1 | $370 | $370 | — | — | 13 | $370 – $370 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 2 | $331 | $331 | — | — | 12 | $331 – $331 |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 2 | $331 | $331 | — | — | 12 | $331 – $331 |
| 19 | Saint Luke’s South Hospital, Inc Leawood, KS per diem · both | 13 | $1.1k | $1.1k | $87 | 8% | 5–50 | $819 – $1.1k |
| 20 | Saint Luke’s East Hospital Summit, MO per diem · both | 13 | $1.1k | $1.1k | $87 | 8% | 4–40 | $819 – $1.1k |
| 21 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $345 | $285 | $143 | 50% | 4–40 | $0 – $367 |
| 22 | Fairview Health Services Wyoming, MN other · inpatient | 3 | $1.1k | $893 | $368 | 41% | 3–30 | $374 – $1.2k |
| 23 | Fairview Health Services Princeton, MN other · inpatient | 3 | $950 | $825 | $339 | 41% | 3–30 | $361 – $1.2k |
| 24 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 3 | $950 | $825 | $339 | 41% | 3–30 | $361 – $1.2k |
| 25 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $457 | $411 | $72 | 17% | 3–30 | $309 – $466 |
← Payers reporting HCPCS C8924 · Snapshot 20261111T120946Z-9134e7f7