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
Inten outpt svs,min 9 pr 7 d
Low
$267
Average
$1.0k
Median
$819
High
$5.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
73 hospitals; the 90th percentile is 2.8× 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
90 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $2.1k | $2.1k | $0 | 0% | — | $2.1k – $2.1k |
| 3 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · outpatientfrom % of charges | 7 | $944 | $1.0k | $297 | 29% | — | $685 – $1.5k |
| 4 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 8 | $777 | $913 | $335 | 37% | — | $426 – $1.5k |
| 5 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 7 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $822 | $1.1k | $341 | 32% | — | $822 – $1.5k |
| 8 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $498 | $498 | — | — | — | $498 – $498 |
| 9 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $926 | $178 | 19% | — | $673 – $1.1k |
| 10 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $796 | $796 | — | — | — | $796 – $796 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 13 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 14 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 16 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $796 | $796 | — | — | — | $796 – $796 |
| 17 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Dickenson Community Hospital CLINTWOOD, VA fee schedule · both | 1 | $723 | $723 | — | — | — | $723 – $723 |
| 19 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 3 | $750 | $949 | $526 | 55% | — | $473 – $2.0k |
| 20 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $516 | $516 | — | — | — | $516 – $516 |
| 21 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $747 | $747 | — | — | — | $747 – $747 |
| 22 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $778 | $778 | — | — | — | $778 – $778 |
| 23 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $763 | $763 | — | — | — | $763 – $763 |
| 24 | Franklin Woods Community Hospital JOHNSON CITY, TN fee schedule · both | 1 | $548 | $548 | — | — | — | $548 – $548 |
| 25 | Franklin Woods Community Hospital JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
← Payers reporting HCPCS G0137 · Snapshot 20261112T124536Z-e251e855