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
Fee Schedule
Low
$0
Average
$724.9k
Median
$0
High
$3547.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 96342505.3× 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.
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26 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 | $36.1k | $36.1k | — | — | — | $36.1k – $36.1k |
| 2 | COMMUNITY MEMORIAL HOSPITAL Hill, VA fee schedule · outpatient | 1 | $3542.4k | $3542.4k | — | — | — | $3542.4k – $3542.4k |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $18.3k | $18.3k | — | — | — | $18.3k – $18.3k |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $3547.3k | $3547.3k | — | — | — | $3547.3k – $3547.3k |
| 5 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 2 | $1926.9k | $1926.9k | $1894.4k | 98% | — | $32.4k – $3821.3k |
| 6 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 7 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Indiana University Health Frankfort Inc. Frankfort, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Indiana University Health Jay Inc. Portland, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Indiana University Health Paoli Inc. Paoli, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Indiana University Health Tipton Hospital Inc. Tipton, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Indiana University Health White Memorial Hospital Inc. Monticello, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $16.7k | $16.7k | $1.5k | 9% | — | $15.2k – $18.3k |
| 20 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 2 | $1926.9k | $1926.9k | $1894.4k | 98% | — | $32.4k – $3821.3k |
| 21 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 2 | $1926.9k | $1926.9k | $1894.4k | 98% | — | $32.4k – $3821.3k |
| 22 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 2 | $1927.0k | $1927.0k | $1894.3k | 98% | — | $32.6k – $3821.3k |
| 23 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $35.1k | $35.1k | — | — | — | $35.1k – $35.1k |
| 24 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA fee schedule · outpatient | 1 | $3542.4k | $3542.4k | — | — | — | $3542.4k – $3542.4k |
| 25 | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY Richmond, VA case rate · outpatient | 1 | $35.4k | $35.4k | — | — | — | $35.4k – $35.4k |
← Payers reporting HCPCS C9172 · Snapshot 20261113T090226Z-3ce6c0b8