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
$19
Average
$503
Median
$338
High
$1.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
78 hospitals; the 90th percentile is 8.6× 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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104 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 | $178 | $123 | $78 | 64% | — | $12 – $178 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $430 | $430 | — | — | — | $430 – $430 |
| 3 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $136 | $136 | $5 | 4% | — | $131 – $141 |
| 4 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $141 | $141 | $8 | 6% | — | $131 – $151 |
| 5 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $119 | $119 | $4 | 4% | — | $114 – $123 |
| 6 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $280 | $280 | $107 | 38% | — | $173 – $387 |
| 7 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $136 | $136 | $5 | 4% | — | $131 – $141 |
| 8 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $136 | $136 | $5 | 4% | — | $131 – $141 |
| 9 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 10 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 11 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 1 | $72 | $72 | $63 | 88% | — | $8 – $135 |
| 12 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $101 | $108 | $96 | 89% | — | $12 – $232 |
| 13 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $101 | $108 | $96 | 89% | — | $12 – $232 |
| 14 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 15 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 16 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 17 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO per diem · outpatient | 2 | $210 | $201 | $19 | 9% | — | $175 – $219 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO per diem · outpatient | 2 | $210 | $201 | $19 | 9% | — | $175 – $219 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | $37 | 4% | — | $1.0k – $1.1k |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | $37 | 4% | — | $1.0k – $1.1k |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO per diem · outpatient | 2 | $210 | $201 | $19 | 9% | — | $175 – $219 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO per diem · outpatient | 2 | $210 | $201 | $19 | 9% | — | $175 – $219 |
| 23 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · inpatientfrom % of charges | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 24 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 25 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 1 | $977 | $977 | — | — | — | $977 – $977 |
← Payers reporting HCPCS G0365 · Snapshot 20261112T181611Z-3fa9fb76