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
HC VISIT TO DETERM LDCT ELIG
Low
$1
Average
$7.5k
Median
$92
High
$5744.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
778 hospitals; the 90th percentile is 6.7× 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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1,267 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 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $75 | $80 | $8 | 10% | 129–138 | $75 – $94 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $76 | $1 | 2% | 57–66 | $75 – $78 |
| 3 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 1 | $108 | $108 | — | — | 50 | $108 – $108 |
| 4 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $81 | $81 | $35 | 43% | 33–42 | $46 – $115 |
| 5 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $218 | $218 | $121 | 55% | 29–38 | $97 – $338 |
| 6 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $45 | $45 | — | — | 23 | $45 – $45 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 3 | $23 | $30 | $16 | 53% | 23 | $15 – $52 |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 3 | $41 | $37 | $10 | 26% | 23–41 | $23 – $45 |
| 9 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | 18–27 | $72 – $72 |
| 10 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $90 | $90 | — | — | 14 | $90 – $90 |
| 11 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $90 | $90 | — | — | 14 | $90 – $90 |
| 12 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 1 | $83 | $83 | $36 | 43% | 14–23 | $48 – $119 |
| 13 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | 12 | $187 – $187 |
| 14 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | $53 | 58% | 12 | $38 – $144 |
| 15 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $43 | $43 | — | — | 4–40 | $43 – $43 |
| 16 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | 2–20 | $144 – $144 |
| 17 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $53 | $53 | — | — | 1–10 | $53 – $53 |
| 18 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 19 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 20 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | 1–10 | $144 – $144 |
| 21 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 22 | Hutchinson Hospital Hutchinson, MN facility · other · both | 2 | $98 | $98 | $6 | 6% | 1–10 | $91 – $104 |
| 23 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 24 | Jennie Stuart Medical Center Hopkinsville, KY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 25 | Jennie Stuart Medical Center Hopkinsville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7