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
$13
Average
$133
Median
$86
High
$625
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
91 hospitals; the 90th percentile is 5.3× 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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103 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 | Baystate Medical Center Springfield, MA other · both | 1 | $22 | $22 | — | — | 2–20 | $22 – $22 |
| 2 | Baystate Wing Hospital Palmer, MA other · both | 1 | $43 | $43 | — | — | 2–20 | $43 – $43 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $52 | $52 | $26 | 50% | — | $26 – $78 |
| 5 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $238 | $238 | $114 | 48% | — | $124 – $353 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $71 | $71 | $5 | 7% | — | $66 – $77 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $13 | $13 | $1 | 9% | — | $12 – $14 |
| 9 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $52 | $52 | $26 | 50% | — | $26 – $78 |
| 10 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 11 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 15 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 16 | Carolinas Medical Center Davidson, NC fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 17 | Central Vermont Medical Center Inc Berlin, VT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $280 | $280 | — | — | — | $280 – $280 |
| 18 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 19 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 2 | $74 | $74 | — | — | — | $74 – $74 |
| 20 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 21 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 23 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 24 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $226 | $226 | $94 | 42% | — | $132 – $320 |
| 25 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $393 | $393 | — | — | — | $393 – $393 |
← Payers reporting HCPCS H0046 · Snapshot 20261111T120946Z-9134e7f7