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
$19
Average
$30
Median
$20
High
$86
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 3.2× 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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15 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 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Paradise Valley Hospital City, CA fee schedule · outpatient | 1 | $19 | $19 | $5 | 24% | — | $14 – $24 |
| 4 | UPMC Greene Waynesburg, PA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $33 | $30 | $4 | 15% | — | $25 – $34 |
| 5 | UPMC Washington Washington, PA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $33 | $30 | $4 | 15% | — | $25 – $34 |
| 6 | Wellstar Cobb Hospital Austell, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Wellstar Douglas Hospital Douglasville, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Wellstar Kennestone Hospital Marietta, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Wellstar Mcg Health, Affiliated With Med Col Augusta, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Wellstar North Fulton Hospital Roswell, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Wellstar Paulding Hospital Hiram, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Wellstar Spalding Regional Hospital Griffin, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Wellstar Sylvan Grove Hospital Jackson, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Wellstar West Georgia Medical Center Lagrange, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Wellstar Windy Hill Hospital Marietta, GA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting HCPCS G6037 · Snapshot 20261112T181611Z-3fa9fb76