HCPCS G0400-TC
Low
$70
Average
$225
Median
$241
High
$279
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 1.7× 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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8 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 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 3 | $306 | $278 | $51 | 18% | — | $207 – $322 |
| 3 | Renown Regional Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 4 | Renown South Meadows Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 5 | Renown South Meadows Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 6 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 3 | $306 | $278 | $51 | 18% | — | $207 – $322 |
| 7 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 3 | $306 | $278 | $51 | 18% | — | $207 – $322 |
| 8 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 3 | $306 | $279 | $50 | 18% | — | $208 – $322 |
← Payers reporting HCPCS G0400-TC · Snapshot 20261115T194459Z-975ba28a