Low
$16
Average
$65
Median
$79
High
$112
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 2.8× 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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20 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 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 2 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 3 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $95 | $96 | $15 | 16% | — | $78 – $116 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 8 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | $4 | 13% | — | $29 – $37 |
| 9 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $112 | $112 | $17 | 15% | — | $95 – $129 |
| 11 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 12 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 13 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | $3 | 5% | — | $54 – $59 |
| 15 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 17 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 18 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 19 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 20 | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY Richmond, VA case rate · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
← Payers reporting HCPCS G2058 · Snapshot 20261112T181611Z-3fa9fb76