Low
$203
Average
$826
Median
$1.1k
High
$1.1k
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3 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 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 2 | $187 | $203 | $110 | 54% | — | $77 – $345 |
| 2 | VHS Harper-Hutzel Hospital Inc Detroit, MI fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | VHS Huron Valley-Sinai Hospital Inc Commerce Charter Twp, MI fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
← Payers reporting HCPCS G0456 · Snapshot 20261112T181611Z-3fa9fb76