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
$8
Average
$5.9k
Median
$5.1k
High
$33.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
131 hospitals; the 90th percentile is 100.1× 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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141 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $109 | $109 | $6 | 5% | — | $101 – $118 |
| 3 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $8 | 7% | — | $101 – $126 |
| 4 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $105 | $105 | $4 | 4% | — | $101 – $109 |
| 5 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $332 | $332 | $127 | 38% | — | $205 – $459 |
| 6 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $109 | $109 | $6 | 5% | — | $101 – $118 |
| 7 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · case rate · outpatient | 1 | $754 | $754 | — | — | — | $754 – $754 |
| 8 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $4 | 3% | — | $109 – $116 |
| 9 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $178 | $178 | $71 | 40% | — | $107 – $248 |
| 10 | Baptist Memorial Hospital-Tipton Covington, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $109 | $109 | $6 | 6% | — | $101 – $116 |
| 11 | Baptist Memorial Hospital-Union City Union City, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $176 | $176 | $67 | 38% | — | $109 – $243 |
| 12 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $109 | $109 | $6 | 5% | — | $101 – $118 |
| 13 | Bexar County Hospital District San Antonio, TX case rate · outpatient | 2 | $4.3k | $4.3k | $110 | 3% | — | $4.2k – $4.4k |
| 14 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 15 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 1 | $632 | $632 | — | — | — | $632 – $632 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 1 | $554 | $554 | $78 | 14% | — | $476 – $632 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 1 | $376 | $376 | $22 | 6% | — | $354 – $398 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 2 | $354 | $273 | $147 | 54% | — | $66 – $398 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · inpatientfrom % of charges | 1 | $7.9k | $7.9k | $135 | 2% | — | $7.8k – $8.1k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.9k | $135 | 2% | — | $7.8k – $8.1k |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 1 | $8.2k | $8.2k | $290 | 4% | — | $7.9k – $8.5k |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 1 | $8.2k | $8.2k | $290 | 4% | — | $7.9k – $8.5k |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
← Payers reporting HCPCS G0364 · Snapshot 20261112T124536Z-e251e855