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
#N/A
Low
$0
Average
$17
Median
$0
High
$90
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 1605.4× 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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27 hospital rates
iThe hospitals that file a Aetna Better Health 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 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 7 | LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | MENORAH MEDICAL CENTER Overland Park, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | MacNeal Hospital Berwyn, IL facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 18 | OVERLAND PARK REGIONAL MEDICAL CENTER OLATHE, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Penn Medicine Princeton Medical Center Princeton, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 20 | RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 22 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 23 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 24 | The Chester County Hospital West Chester, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 25 | Thomas Jefferson University Hospital, Inc. Philadelphia, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0872 · Snapshot 20261112T181611Z-3fa9fb76