Low
$1
Average
$106
Median
$152
High
$218
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 232.5× 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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9 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 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 2 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 6 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 9 | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY Richmond, VA case rate · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
← Payers reporting HCPCS C9054 · Snapshot 20261112T181611Z-3fa9fb76