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
Fee Schedule
Low
$16
Average
$596
Median
$30
High
$3.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 108.9× 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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19 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 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $47 | 4% | — | $1.2k – $1.3k |
| 2 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $2.3k | $862 | 38% | — | $1.4k – $3.1k |
| 3 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · percent of total billed charges · outpatientfrom % of charges | 3 | $712 | $933 | $347 | 37% | — | $664 – $1.4k |
| 4 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.4k | $3.4k | $1.4k | 40% | — | $2.1k – $4.8k |
| 5 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 8 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Doylestown Hospital Doylestown, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $232 | $232 | $8 | 3% | — | $224 – $240 |
| 12 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | HealthAlliance Hospital Kingston, NY facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $1 | 5% | — | $19 – $21 |
| 16 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | Margaretville Memorial Hospital Margaretville, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $1 | 5% | — | $19 – $21 |
| 19 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
← Payers reporting HCPCS G0275 · Snapshot 20261113T090226Z-3ce6c0b8