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
Collateral Contact 15 Min
Low
$1
Average
$106
Median
$63
High
$875
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
86 hospitals; the 90th percentile is 239.2× 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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100 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 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | 2–20 | $22 – $22 |
| 2 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | 2–20 | $43 – $43 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $225 | $225 | $101 | 45% | — | $124 – $327 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 10 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $1 | $2 | $0 | 32% | — | $1 – $2 |
| 13 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 14 | Central Vermont Medical Center Inc Berlin, VT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 15 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $126 | $126 | $41 | 33% | — | $84 – $167 |
| 16 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 4 | $24 | $50 | $35 | 71% | — | $24 – $100 |
| 19 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 22 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 23 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 24 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Eastern Maine Medical Center Bangor, ME facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS H0046 · Snapshot 20261111T120946Z-9134e7f7