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
E/M PROV. ESKETAMINE >56MG
Low
$28
Average
$1.4k
Median
$1.4k
High
$22k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
574 hospitals; the 90th percentile is 5.2× 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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824 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 | Samaritan Medical Center Watertown, NY professional · other · both | 3 | $78 | $105 | $55 | 52% | 115–124 | $55 – $181 |
| 2 | Sioux Center Health Sioux Center, IA percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 45 | $1.8k – $1.8k |
| 3 | Sioux Center Health Sioux Center, IA percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 12 | $1.8k – $1.8k |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $48 | $47 | $1 | 2% | — | $45 – $48 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $1.4k | $1.6k | $1.5k | 92% | — | $45 – $4.4k |
| 8 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $1.8k | $1.8k | $16 | 1% | — | $1.8k – $1.8k |
| 9 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $567 | $735 | $737 | 100% | — | $33 – $1.8k |
| 11 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $56 | $48 | $11 | 22% | — | $33 – $56 |
| 19 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | Allina Health Systems Minneapolis, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
← Payers reporting HCPCS G2083 · Snapshot 20261111T120946Z-9134e7f7