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
$0
Average
$181
Median
$158
High
$1.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 11.2× 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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64 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 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 4 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 6 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 1 | $736 | $736 | $26 | 4% | — | $710 – $762 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $736 | $26 | 4% | — | $710 – $762 |
| 9 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 10 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 11 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $208 | $208 | $117 | 56% | — | $92 – $325 |
| 12 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | $1 | 7% | — | $14 – $16 |
| 13 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $1 | 7% | — | $14 – $16 |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 15 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | $1 | 7% | — | $14 – $16 |
| 16 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $1 | 7% | — | $14 – $16 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 3 | $73 | $111 | $55 | 50% | — | $71 – $190 |
| 19 | Doylestown Hospital Doylestown, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $137 | $137 | $5 | 3% | — | $132 – $141 |
| 20 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $435 | $336 | $172 | 51% | — | $18 – $435 |
| 21 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $425 | $328 | $168 | 51% | — | $17 – $425 |
| 22 | Franklin Woods Community Hospital JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 23 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 24 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 5 | $27 | $47 | $37 | 78% | — | $6 – $118 |
| 25 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting HCPCS G0431 · Snapshot 20261112T181611Z-3fa9fb76