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
$73
Average
$5.7k
Median
$5.8k
High
$20.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 24.0× 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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43 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 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 2 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 3 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 4 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 6 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 8 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $516 | $516 | — | — | — | $516 – $516 |
| 9 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 10 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $18.8k | $18.8k | — | — | — | $18.8k – $18.8k |
| 11 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 12 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 13 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 14 | Jennie Stuart Medical Center Hopkinsville, KY facility · fee schedule · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 15 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 16 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $545 | $545 | — | — | — | $545 – $545 |
| 17 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $267 | $267 | $24 | 9% | — | $242 – $291 |
| 18 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 19 | MaineHealth Brunswick, ME fee schedule · both | 2 | $6.7k | $6.7k | $934 | 14% | — | $5.7k – $7.6k |
| 20 | MaineHealth Rockport, ME fee schedule · both | 2 | $6.7k | $6.7k | $934 | 14% | — | $5.7k – $7.6k |
| 21 | MaineHealth Westbrook, ME fee schedule · both | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 22 | MaineHealth Damariscotta, ME fee schedule · both | 3 | $6.6k | $6.6k | $763 | 12% | — | $5.7k – $7.6k |
| 23 | MaineHealth North Conway, NH fee schedule · both | 3 | $6.6k | $6.6k | $763 | 12% | — | $5.7k – $7.6k |
| 24 | MaineHealth Belfast, ME fee schedule · both | 3 | $6.6k | $6.6k | $763 | 12% | — | $5.7k – $7.6k |
| 25 | MaineHealth Farmington, ME fee schedule · both | 3 | $5.7k | $6.3k | $880 | 14% | — | $5.7k – $7.6k |
← Payers reporting HCPCS G2072 · Snapshot 20261112T124536Z-e251e855