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
$38
Average
$180
Median
$130
High
$6.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
600 hospitals; the 90th percentile is 3.2× 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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824 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $58 | $69 | $20 | 29% | 335 | $55 – $103 |
| 2 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $372 | $372 | — | — | 288 | $372 – $372 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $129 | $129 | — | — | 262 | $129 – $129 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $129 | $129 | — | — | 262 | $129 – $129 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · bothfrom % of charges | 2 | $168 | $168 | — | — | 245 | $168 – $168 |
| 6 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $145 | $145 | — | — | 180 | $145 – $145 |
| 7 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 1 | $174 | $174 | — | — | 51–60 | $174 – $174 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $300 | $300 | — | — | 37 | $300 – $300 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $148 | $122 | $51 | 41% | 34 | $52 – $167 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $249 | $213 | $127 | 60% | 30 | $42 – $348 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN percent of total billed charges · bothfrom % of charges | 12 | $142 | $176 | $39 | 22% | 26–35 | $142 – $221 |
| 12 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 3 | $61 | $70 | $24 | 34% | 19 | $47 – $103 |
| 13 | Mercy Medical Center-Clinton Inc Clinton, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $168 | $168 | — | — | 19 | $168 – $168 |
| 14 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $92 | $100 | $18 | 18% | 17 | $84 – $125 |
| 15 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $143 | $143 | — | — | 15 | $143 – $143 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $143 | $143 | — | — | 15 | $143 – $143 |
| 17 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 2 | $304 | $273 | $60 | 22% | 14–23 | $152 – $304 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $161 | $123 | 77% | 11 | $38 – $284 |
| 19 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 20 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $304 | $304 | — | — | 1–10 | $304 – $304 |
| 21 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $174 | $152 | $45 | 29% | 1–10 | $62 – $174 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 3 | $61 | $73 | $21 | 29% | 1–10 | $55 – $103 |
| 23 | Mercy Medical Center-Clinton Inc Clinton, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $168 | $168 | — | — | 1–10 | $168 – $168 |
| 24 | Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $192 | $192 | $74 | 38% | 1–10 | $118 – $266 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7