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
$0
Average
$136
Median
$60
High
$3.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
127 hospitals; the 90th percentile is 17.1× 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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166 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Allina Health Systems Minneapolis, MN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA facility · fee schedule · outpatient | 2 | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA facility · fee schedule · outpatient | 2 | $90 | $90 | — | — | — | $90 – $90 |
| 8 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 9 | Arkansas Childrens Hospital Little Rock, AR facility · per diem · inpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 10 | Arkansas Childrens Northwest Springdale, AR facility · per diem · inpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 11 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL other · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 3 | $114 | $117 | $12 | 10% | — | $103 – $132 |
| 15 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 3 | $168 | $168 | — | — | — | $168 – $168 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 2 | $123 | $123 | $9 | 7% | — | $114 – $132 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 3 | $114 | $117 | $12 | 10% | — | $103 – $132 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 3 | $168 | $168 | — | — | — | $168 – $168 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $245 | $91 | 37% | — | $154 – $336 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 2 | $175 | $175 | $121 | 69% | — | $54 – $296 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 2 | $265 | $265 | $71 | 27% | — | $194 – $336 |
← Payers reporting HCPCS J2400 · Snapshot 20261112T181611Z-3fa9fb76