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
Svs by ot in home health
Low
$18
Average
$434
Median
$204
High
$1.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 77.1× 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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35 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 | "Savoy Medical Management Group, Inc." Mamou, LA facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO case rate · outpatient | 3 | $200 | $204 | $21 | 11% | — | $180 – $232 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO case rate · outpatient | 2 | $344 | $344 | $26 | 7% | — | $318 – $369 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 3 | $200 | $204 | $21 | 11% | — | $180 – $232 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $20 | 69% | — | $9 – $49 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $47 | $3 | 7% | — | $44 – $51 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO case rate · outpatient | 2 | $197 | $197 | $15 | 7% | — | $182 – $211 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO case rate · outpatient | 3 | $200 | $204 | $21 | 11% | — | $180 – $232 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 3 | $200 | $204 | $21 | 11% | — | $180 – $232 |
| 10 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · inpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 11 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · inpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 13 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $13 | 45% | — | $17 – $44 |
| 14 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 19 | LONGMONT UNITED HOSPITAL Longmont, CO case rate · outpatient | 3 | $200 | $204 | $21 | 11% | — | $180 – $232 |
| 20 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 21 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $944 | $1.0k | $292 | 29% | — | $708 – $1.4k |
| 24 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $944 | $1.0k | $292 | 29% | — | $708 – $1.4k |
← Payers reporting HCPCS G2169 · Snapshot 20261113T090226Z-3ce6c0b8