Low
$7
Average
$76
Median
$77
High
$177
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 2.4× 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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20 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 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Burgess Health Center Onawa, IA facility · per diem · inpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 5 | Burgess Health Center Onawa, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 9 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 10 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 11 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 12 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 13 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 14 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 15 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 16 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 17 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 18 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $85 | $85 | $53 | 63% | — | $32 – $138 |
| 19 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | Scheurer Health Pigeon, MI percent of total billed charges · bothfrom % of charges | 5 | $70 | $64 | $12 | 20% | — | $39 – $70 |
← Payers reporting HCPCS J1055 · Snapshot 20261113T090226Z-3ce6c0b8