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
PIN SRV ADD 30 MIN PR M
Low
$11
Average
$42
Median
$33
High
$175
Each hospital's average Optum rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 4.1× 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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32 hospital rates
iThe hospitals that file a Optum 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $40 | $40 | $7 | 18% | — | $33 – $47 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $51 | $51 | $1 | 1% | — | $51 – $52 |
| 3 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 10 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 3 | $13 | $17 | $9 | 50% | — | $9 – $29 |
| 11 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 12 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Fairview Health Services Minneapolis, MN fee schedule · both | 2 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · outpatient | 1 | $39 | $39 | $7 | 18% | — | $33 – $46 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 16 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | Laird Hospital, Inc. Union, MS fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 18 | ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 19 | Ochsner American Legion Hospital, LLC Jennings, LA fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 20 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $198 | $211 | $58 | 28% | — | $152 – $294 |
| 21 | Rush Hospital/Butler, Inc. Butler, AL fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Rush Medical Foundation Meridian, MS fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | Rush Medical Foundation Quitman, MS fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · outpatient | 3 | $13 | $17 | $9 | 50% | — | $9 – $29 |
| 25 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient | 3 | $13 | $17 | $9 | 50% | — | $9 – $29 |
← Payers reporting HCPCS G0024 · Snapshot 20261111T120946Z-9134e7f7