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
facility
Low
$0
Average
$132
Median
$5
High
$12.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
618 hospitals; the 90th percentile is 58.8× 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.
Filter by billing methodology
Filter by billing class
894 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 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $6 | $6 | — | — | 1,848 | $6 – $6 |
| 2 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | 400 | $35 – $35 |
| 3 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | 400 | $35 – $35 |
| 4 | LEE MEMORIAL HOSPITAL FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | 300 | $35 – $35 |
| 5 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 166 | $68 – $68 |
| 6 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $6 | $6 | — | — | 138 | $6 – $6 |
| 7 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $107 | $102 | $39 | 38% | 123–150 | $35 – $150 |
| 8 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | 100 | $35 – $35 |
| 9 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 84 | $68 – $68 |
| 10 | St. Joseph Medical Center Bellingham, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | 64 | $9 – $9 |
| 11 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 4 | $22 | $23 | $7 | 33% | 59–77 | $12 – $33 |
| 12 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $32 | $8 | 24% | 54 | $21 – $38 |
| 13 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | $12 | 22% | 44 | $42 – $69 |
| 14 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | $9 | 27% | 24 | $24 – $42 |
| 15 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $132 | $132 | $8 | 6% | 24 | $124 – $140 |
| 16 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 5 | $31 | $36 | $17 | 48% | 8–80 | $16 – $79 |
| 17 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $41 | $10 | 26% | 4–40 | $34 – $59 |
| 18 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | 2–20 | $268 – $268 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | $7 | 82% | 2–20 | $2 – $16 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | $3 | 65% | 2–20 | $2 – $8 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $7 | $4 | 55% | 1–10 | $2 – $11 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 23 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $64 | $105 | $111 | 106% | 1–10 | $11 – $430 |
| 24 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | 1–10 | $119 – $119 |
| 25 | Sacred Heart-Riverbend Springfield, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
← Payers reporting HCPCS J0689 · Snapshot 20261111T120946Z-9134e7f7