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
$61
Median
$3
High
$26.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
858 hospitals; the 90th percentile is 52.8× 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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1,104 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $109 | $119 | $21 | 18% | 21,600 | $100 – $148 |
| 2 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $7 | $8 | $4 | 50% | 1,600 | $3 – $14 |
| 3 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $2 | $2 | — | — | 525 | $2 – $2 |
| 4 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 395 | $62 – $62 |
| 5 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 159 | $62 – $62 |
| 6 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | 100 | $35 – $35 |
| 7 | Sacred Heart-Riverbend Springfield, OR facility · other · outpatient | 1 | $203 | $203 | — | — | 87 | $203 – $203 |
| 8 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $104 | $104 | $99 | 95% | 50–59 | $6 – $203 |
| 9 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 6 | $41 | $40 | $2 | 6% | 48–84 | $35 – $41 |
| 10 | Avera McKennan Hospital Sioux Falls, SD case rate · inpatient | 1 | $8 | $8 | — | — | 41 | $8 – $8 |
| 11 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $186 | $227 | $71 | 31% | 40–76 | $186 – $350 |
| 12 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | $15 | 22% | 35 | $47 – $84 |
| 13 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | $6 | 2% | 30 | $272 – $283 |
| 14 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 2 | $70 | $114 | $88 | 77% | 28–55 | $51 – $264 |
| 15 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 1 | $26.1k | $26.1k | — | — | 24 | $26.1k – $26.1k |
| 16 | St. John Medical Center Longview, WA facility · other · outpatient | 1 | $157 | $157 | — | — | 15 | $157 – $157 |
| 17 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $11 | $9 | 80% | 14–140 | $7 – $38 |
| 18 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $10 | $8 | 85% | 8–80 | $5 – $31 |
| 19 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $11 | $9 | 80% | 8–80 | $7 – $38 |
| 20 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $10 | $8 | 85% | 8–80 | $5 – $31 |
| 21 | Fairview Health Services Edina, MN other · inpatient | 1 | $9 | $9 | — | — | 6–60 | $9 – $9 |
| 22 | Fairview Health Services Edina, MN other · outpatient | 1 | $9 | $9 | — | — | 6–60 | $9 – $9 |
| 23 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 1 | $8 | $8 | — | — | 6–60 | $8 – $8 |
| 24 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $33 | $9 | 26% | 4–40 | $27 – $49 |
| 25 | Avera Queen of Peace Mitchell, SD percent of total billed charges · inpatientfrom % of charges | 1 | $277 | $277 | $6 | 2% | 2–20 | $272 – $283 |
← Payers reporting HCPCS J0689 · Snapshot 20261111T120946Z-9134e7f7