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
HC NDL NRV BLCK 80MM 22GA SONOPLEX II FACET S TIP INJ
Low
$31
Average
$114
Median
$164
High
$202
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 4.3× 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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32 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 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $60 | $60 | $3 | 5% | — | $58 – $63 |
| 2 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $60 | $60 | $3 | 5% | — | $58 – $63 |
| 3 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $60 | $60 | $3 | 5% | — | $58 – $63 |
| 4 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | $2 | 6% | — | $30 – $35 |
| 5 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 6 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 1 | $60 | $60 | $3 | 5% | — | $58 – $63 |
| 7 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $2 | 6% | — | $37 – $42 |
| 8 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | $2 | 6% | — | $29 – $33 |
| 9 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $43 | $3 | 6% | — | $40 – $46 |
| 10 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | $3 | 6% | — | $50 – $57 |
| 11 | MultiCare Deaconess Hospital Spokane, WA percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | $3 | 6% | — | $41 – $47 |
| 12 | MultiCare Valley Hospital Spokane Valley, WA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $3 | 6% | — | $40 – $45 |
| 13 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $39 | $28 | 72% | — | $10 – $71 |
| 14 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $57 | $57 | $3 | 6% | — | $54 – $60 |
| 15 | PIEDMONT MCDUFFIE HOSPITAL Thomson, GA percent of total billed charges · bothfrom % of charges | 1 | $135 | $202 | $127 | 63% | — | $105 – $538 |
| 16 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
| 17 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
| 18 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
| 19 | Piedmont Cartersville Cartersville, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
| 20 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 2 | $127 | $191 | $120 | 63% | — | $99 – $508 |
| 21 | Piedmont Columbus Regional - Northside Columbus, GA percent of total billed charges · bothfrom % of charges | 1 | $122 | $183 | $115 | 63% | — | $95 – $486 |
| 22 | Piedmont Eastside Snellville, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
| 23 | Piedmont Fayette Fayetteville, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
| 24 | Piedmont Henry Stockbridge, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
| 25 | Piedmont Macon Macon, GA percent of total billed charges · bothfrom % of charges | 2 | $112 | $168 | $106 | 63% | — | $87 – $446 |
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