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
$42
Average
$104
Median
$43
High
$445
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 3.8× 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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10 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 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 3 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $44 | $44 | $1 | 2% | — | $43 – $45 |
| 9 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $361 | $445 | $286 | 64% | — | $142 – $914 |
| 10 | UPMC Greene Waynesburg, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
← Payers reporting HCPCS J0152 · Snapshot 20261113T090226Z-3ce6c0b8