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 Diab Self Mgt Group Ea 30 Min
Low
$7
Average
$167
Median
$38
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1427 hospitals; the 90th percentile is 10.9× 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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2,478 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 2 | $15 | $15 | — | — | 106 | $15 – $15 |
| 2 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL professional · fee schedule · both | 1 | $21 | $21 | — | — | 99 | $21 – $21 |
| 3 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $239 | $239 | — | — | 95 | $239 – $239 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 10 | $36 | $33 | $4 | 12% | 90 | $29 – $37 |
| 5 | Piedmont Atlanta Atlanta, GA per diem · both | 2 | $118 | $118 | — | — | 74 | $118 – $118 |
| 6 | Alton Memorial Hospital Alton, IL fee schedule · both | 1 | $16 | $16 | — | — | 69 | $16 – $16 |
| 7 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 2 | $40 | $40 | $13 | 33% | 61 | $27 – $54 |
| 8 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN per diem · both | 8 | $356 | $323 | $106 | 33% | 60–69 | $50 – $404 |
| 9 | Piedmont Augusta Augusta, GA per diem · both | 2 | $91 | $91 | — | — | 48 | $91 – $91 |
| 10 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $17 | $17 | $0 | 1% | 46 | $17 – $17 |
| 11 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · both | 1 | $21 | $21 | — | — | 40 | $21 – $21 |
| 12 | Alton Memorial Hospital Alton, IL per diem · both | 1 | $64 | $64 | — | — | 38 | $64 – $64 |
| 13 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 1 | $18 | $18 | — | — | 35–44 | $18 – $18 |
| 14 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 1 | $21 | $21 | — | — | 31 | $21 – $21 |
| 15 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $33 | $33 | $3 | 10% | 31 | $29 – $36 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $39 | $28 | 72% | 29 | $6 – $95 |
| 17 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $67 | $58 | $18 | 30% | 27 | $23 – $67 |
| 18 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $148 | $148 | — | — | 25 | $148 – $148 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $46 | $46 | $6 | 14% | 24 | $40 – $52 |
| 20 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $11 | $11 | — | — | 21 | $11 – $11 |
| 21 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $148 | $148 | — | — | 20 | $148 – $148 |
| 22 | Avera Specialty Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $148 | $148 | — | — | 20 | $148 – $148 |
| 23 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $49 | $49 | $9 | 18% | 18–36 | $40 – $58 |
| 24 | Tufts Medical Center BOSTON, MA other · both | 1 | $95 | $95 | — | — | 18 | $95 – $95 |
| 25 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $280 | $280 | — | — | 16 | $280 – $280 |
← Payers reporting HCPCS G0109 · Snapshot 20261111T120946Z-9134e7f7