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
$12
Average
$174
Median
$173
High
$1.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 10.9× 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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42 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 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 3 | $186 | $186 | — | — | — | $186 – $186 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 2 | $433 | $433 | — | — | — | $433 – $433 |
| 3 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 3 | $107 | $99 | $20 | 20% | — | $71 – $119 |
| 4 | Doylestown Hospital Doylestown, PA facility · other · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 5 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $410 | $316 | $162 | 51% | — | $17 – $410 |
| 6 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $410 | $316 | $162 | 51% | — | $17 – $410 |
| 7 | Franklin Woods Community Hospital JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 2 | $176 | $176 | $9 | 5% | — | $167 – $186 |
| 8 | GLENS FALLS HOSPITAL INC Falls, NY facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 4 | $186 | $173 | $22 | 13% | — | $134 – $186 |
| 10 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 11 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 12 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $74 | $62 | 83% | — | $15 – $177 |
| 13 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 14 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 4 | $119 | $131 | $22 | 16% | — | $119 – $168 |
| 15 | Hawkins County Memorial Hospital ROGERSVILLE, TN percent of total billed charges · bothfrom % of charges | 4 | $186 | $186 | — | — | — | $186 – $186 |
| 16 | Holston Valley Medical Center KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 4 | $186 | $186 | — | — | — | $186 – $186 |
| 17 | Indian Path Community Hospital KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 18 | Johnson City Medical Center JOHNSON CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 19 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 3 | $107 | $98 | $21 | 22% | — | $69 – $119 |
| 20 | Johnston Memorial Hospital ABINGDON, VA percent of total billed charges · bothfrom % of charges | 2 | $176 | $176 | $9 | 5% | — | $167 – $186 |
| 21 | Lancaster General Health Lancaster, PA facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 22 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 23 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 24 | Lee County Community Hospital PENNINGTON GAP, VA percent of total billed charges · bothfrom % of charges | 2 | $85 | $85 | $33 | 39% | — | $52 – $119 |
| 25 | Lonesome Pine Hospital NORTON, VA percent of total billed charges · bothfrom % of charges | 4 | $186 | $186 | — | — | — | $186 – $186 |
← Payers reporting HCPCS G0431 · Snapshot 20261112T181611Z-3fa9fb76