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
$59
Average
$1.1k
Median
$166
High
$6.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 71.6× 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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29 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 7 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $581 | $581 | — | — | — | $581 – $581 |
| 8 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 10 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $516 | $516 | — | — | — | $516 – $516 |
| 11 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 13 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 14 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 15 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 16 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 17 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 18 | MaineHealth North Conway, NH fee schedule · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 19 | MaineHealth Belfast, ME fee schedule · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 20 | MaineHealth Farmington, ME fee schedule · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 21 | MaineHealth Norway, ME fee schedule · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 22 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $516 | $516 | — | — | — | $516 – $516 |
| 23 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $516 | $516 | — | — | — | $516 – $516 |
| 24 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 25 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · case rate · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
← Payers reporting HCPCS G2072 · Snapshot 20261112T181611Z-3fa9fb76