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
PET/CT NONCOV INT DIAG BREAST
Low
$1
Average
$1.8k
Median
$132
High
$10.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
191 hospitals; the 90th percentile is 8654.5× 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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213 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 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $1.9k | $1.9k | $28 | 1% | 26–35 | $1.8k – $1.9k |
| 2 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $138 | $95 | $68 | 71% | — | $0 – $146 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $138 | $95 | $68 | 71% | — | $0 – $146 |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $64 | $64 | $64 | 100% | — | $0 – $128 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $97 | $65 | $46 | 71% | — | $0 – $97 |
| 7 | Allina Health Systems Shakopee, MN facility · case rate · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 8 | Allina Health Systems Owatonna, MN facility · case rate · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 9 | Allina Health Systems Cambridge, MN facility · case rate · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 10 | Allina Health Systems Faribualt, MN facility · case rate · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 11 | Allina Health Systems Buffalo, MN facility · case rate · outpatient | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 12 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 4 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 14 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $335 | $335 | $189 | 56% | — | $147 – $524 |
| 15 | Baptist Memorial Hospital-Booneville Booneville, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $7.2k | $7.2k | $345 | 5% | — | $6.9k – $7.6k |
| 16 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · fee schedule · outpatient | 2 | $3.8k | $3.8k | $268 | 7% | — | $3.6k – $4.1k |
| 17 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · per diem · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 18 | Baptist Memorial Hospital-Union County New Albany, MS facility · fee schedule · outpatient | 2 | $3.8k | $3.8k | $303 | 8% | — | $3.5k – $4.1k |
| 19 | Baptist Memorial Hospital-Union County New Albany, MS facility · per diem · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $70 | $46 | $33 | 71% | — | $0 – $70 |
| 21 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $64 | $64 | $64 | 100% | — | $0 – $128 |
| 22 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $73 | $67 | $52 | 78% | — | $0 – $128 |
| 23 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 3 | $138 | $95 | $68 | 71% | — | $0 – $146 |
| 24 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 3 | $138 | $95 | $68 | 71% | — | $0 – $146 |
| 25 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 2 | $6.8k | $6.8k | $1.8k | 26% | — | $5.1k – $8.6k |
← Payers reporting HCPCS G0252 · Snapshot 20261112T124536Z-e251e855