Low
$33
Average
$127
Median
$154
High
$200
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
10 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.
Filter by billing methodology
Filter by billing class
13 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 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 5 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 6 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 7 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 8 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 9 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · inpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 10 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 11 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 12 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 13 | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY Richmond, VA case rate · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
← Payers reporting HCPCS C9057 · Snapshot 20261112T181611Z-3fa9fb76