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
$964
Average
$3.7k
Median
$4.1k
High
$14.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 3.5× 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.
Filter by billing methodology
Filter by billing class
31 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 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | COMMUNITY MEMORIAL HOSPITAL Hill, VA fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 3 | Clara Maass Medical Center Belleville, NJ case rate · outpatient | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Community Medical Center Toms River, NJ case rate · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ case rate · outpatient | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 2 | $2.8k | $2.8k | $901 | 32% | — | $1.9k – $3.7k |
| 9 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 10 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $964 | $964 | — | — | — | $964 – $964 |
| 11 | Jersey City Medical Center Jersey City, NJ case rate · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 12 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $964 | $964 | $88 | 9% | — | $876 – $1.1k |
| 14 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 16 | Monmouth Medical Center Long Branch, NJ case rate · outpatient | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 17 | Monmouth Medical Center Southern Campus Lakewood, NJ case rate · outpatient | 2 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 18 | Newark Beth Israel Medical Center Newark, NJ case rate · outpatient | 2 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 2 | $2.8k | $2.8k | $901 | 32% | — | $1.9k – $3.7k |
| 20 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 2 | $2.8k | $2.8k | $901 | 32% | — | $1.9k – $3.7k |
| 21 | Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ case rate · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 22 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ case rate · outpatient | 2 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 23 | Robert Wood Johnson University Hospital Somerset Somerville, NJ case rate · outpatient | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 24 | Ronald Reagan UCLA Medical Center Los Angeles, CA fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 25 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 2 | $2.8k | $2.8k | $895 | 32% | — | $1.9k – $3.7k |
← Payers reporting HCPCS C9795 · Snapshot 20261112T181611Z-3fa9fb76