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
$7
Average
$88
Median
$12
High
$448
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 25.1× 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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28 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 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 3 | $160 | $257 | $138 | 53% | — | $160 – $452 |
| 8 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 11 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 12 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $436 | $436 | — | — | — | $436 – $436 |
| 16 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 3 | $474 | $448 | $37 | 8% | — | $395 – $474 |
| 17 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | The Mount Sinai Hospital New York, NY fee schedule · outpatient | 3 | $159 | $159 | — | — | — | $159 – $159 |
| 20 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 2 | $165 | $165 | — | — | — | $165 – $165 |
| 21 | Vanderbilt Bedford Hospital Shelbyville, TN percent of total billed charges · bothfrom % of charges | 15 | $99 | $110 | $24 | 22% | — | $83 – $165 |
| 22 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 2 | $165 | $165 | — | — | — | $165 – $165 |
| 23 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN percent of total billed charges · bothfrom % of charges | 16 | $99 | $108 | $24 | 22% | — | $83 – $165 |
| 24 | Vanderbilt University Medical Center Nashville, TN fee schedule · both | 2 | $165 | $165 | — | — | — | $165 – $165 |
| 25 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 16 | $99 | $108 | $24 | 22% | — | $83 – $165 |
← Payers reporting HCPCS G9678 · Snapshot 20261112T181611Z-3fa9fb76