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
PR Provision Test Material(S) and Equipment Home Inr
Low
$48
Average
$150
Median
$137
High
$1.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
742 hospitals; the 90th percentile is 2.3× 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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910 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 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $413 | $418 | $11 | 3% | 146 | $413 – $440 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $126 | $126 | — | — | 103 | $126 – $126 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $126 | $126 | — | — | 103 | $126 – $126 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $59 | $87 | $46 | 53% | 96 | $42 – $151 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $194 | $164 | $90 | 55% | 42 | $42 – $256 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $206 | $206 | $169 | 82% | 28 | $38 – $375 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $153 | $136 | $63 | 46% | 27 | $52 – $203 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $314 | $314 | — | — | 21 | $314 – $314 |
| 9 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $111 | $111 | $7 | 6% | 12–21 | $105 – $118 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $99 | $91 | $37 | 41% | 1–10 | $42 – $132 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 3 | $160 | $157 | $17 | 11% | 1–10 | $135 – $175 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $144 | $127 | $63 | 50% | 1–10 | $42 – $194 |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN percent of total billed charges · bothfrom % of charges | 6 | $192 | $182 | $25 | 14% | 1–10 | $121 – $192 |
| 14 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $314 | $314 | — | — | 1–10 | $314 – $314 |
| 15 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 4 | $50 | $75 | $38 | 51% | 1–10 | $42 – $129 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $239 | $239 | $79 | 33% | — | $160 – $319 |
| 18 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $221 | $221 | $92 | 42% | — | $129 – $313 |
| 19 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 20 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $76 | $76 | $21 | 27% | — | $55 – $97 |
| 21 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 22 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 23 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 24 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 25 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7