Low
$34
Average
$141
Median
$109
High
$338
Each hospital's average Optum rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 8.1× 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.
Filter by billing methodology
Filter by billing class
5 hospital rates
iThe hospitals that file a Optum 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 4 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | University of Illinois Hospital & Clinics Chicago, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
← Payers reporting HCPCS G9880 · Snapshot 20261111T120946Z-9134e7f7