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
$29
Average
$474
Median
$367
High
$1.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
58 hospitals; the 90th percentile is 9.9× 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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75 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $287 | $287 | $175 | 61% | — | $112 – $462 |
| 2 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $281 | $281 | $181 | 64% | — | $100 – $462 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $374 | $374 | $87 | 23% | — | $287 – $462 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $284 | $284 | $178 | 63% | — | $106 – $462 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $284 | $284 | $178 | 63% | — | $106 – $462 |
| 6 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $275 | $275 | $187 | 68% | — | $87 – $462 |
| 7 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $371 | $371 | $25 | 7% | — | $346 – $395 |
| 8 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $371 | $371 | $25 | 7% | — | $346 – $395 |
| 9 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $371 | $371 | $25 | 7% | — | $346 – $395 |
| 10 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $371 | $371 | $25 | 7% | — | $346 – $395 |
| 11 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $371 | $371 | $25 | 7% | — | $346 – $395 |
| 12 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $371 | $371 | $25 | 7% | — | $346 – $395 |
| 13 | Ascension Cedar Park Park, TX fee schedule · both | 6 | $113 | $113 | — | — | — | $113 – $113 |
| 14 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $694 | $694 | — | — | — | $694 – $694 |
| 15 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 16 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 17 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · fee schedule · outpatient | 2 | $228 | $228 | $16 | 7% | — | $212 – $243 |
| 18 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · per diem · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 19 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · fee schedule · outpatient | 2 | $222 | $222 | $23 | 10% | — | $199 – $244 |
| 20 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · per diem · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 21 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 22 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 23 | Baxter County Regional Hospital, Inc. Home, AR facility · per diem · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 24 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $129 | $129 | $114 | 88% | — | $15 – $243 |
| 25 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
← Payers reporting HCPCS G0365 · Snapshot 20261112T181611Z-3fa9fb76