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
Symphony Monthly Rental W/Okit
Low
$1
Average
$161
Median
$140
High
$843
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 117.1× 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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75 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 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | 4–40 | $35 – $35 |
| 2 | MultiCare Valley Hospital Spokane Valley, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 3 | Tacoma General Allenmore Hospital Bremerton, WA percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $147 | $140 | $50 | 35% | — | $76 – $196 |
| 6 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $26 | $34 | $13 | 37% | — | $14 – $50 |
| 7 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $194 | $184 | $65 | 36% | — | $99 – $258 |
| 8 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $194 | $184 | $65 | 36% | — | $98 – $260 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $71 | $86 | $45 | 52% | — | $36 – $178 |
| 11 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $102 | $96 | $38 | 39% | — | $52 – $136 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 13 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 14 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 15 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $84 | $105 | $60 | 57% | — | $41 – $218 |
| 16 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $75 | $71 | $28 | 39% | — | $39 – $100 |
| 18 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $194 | $184 | $65 | 36% | — | $98 – $260 |
| 19 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 20 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $184 | $187 | $93 | 50% | — | $92 – $286 |
| 21 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $539 | $539 | — | — | — | $539 – $539 |
| 22 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $102 | $96 | $38 | 39% | — | $52 – $136 |
| 23 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 24 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 25 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
← Payers reporting HCPCS E0604 · Snapshot 20261111T120946Z-9134e7f7