Low
$39
Average
$22.5k
Median
$130
High
$56.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 779.0× 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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5 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 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 2 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 4 | $56.1k | $56.1k | $1.9k | 3% | — | $54.3k – $58.0k |
| 3 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 4 | $56.1k | $56.1k | $1.9k | 3% | — | $54.3k – $58.0k |
| 4 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Providence Health And Services - Washington Spokane, WA fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
← Payers reporting HCPCS C9490 · Snapshot 20261112T181611Z-3fa9fb76