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
$2
Average
$1.8k
Median
$124
High
$1922.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1202 hospitals; the 90th percentile is 66.1× 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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1,894 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 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · outpatient | 2 | $5 | $5 | $0 | 3% | 45 | $5 – $5 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $119 | $127 | $112 | 88% | 30 | $14 – $254 |
| 3 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 4 | $867 | $821 | $390 | 48% | 16–25 | $253 – $1.7k |
| 4 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $170 | $187 | $25 | 13% | 16–52 | $170 – $222 |
| 5 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $170 | $187 | $25 | 13% | 16–52 | $170 – $222 |
| 6 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · outpatient | 2 | $5 | $5 | $0 | 3% | 15 | $5 – $5 |
| 7 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 11 | $27 | $27 | $3 | 12% | 15 | $19 – $32 |
| 8 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | — | — | 15 | $1.0k – $1.0k |
| 9 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $327 | $327 | — | — | 15 | $327 – $327 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $170 | $292 | 172% | 6–60 | $5 – $821 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $88 | $134 | 153% | 6–60 | $5 – $382 |
| 12 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 5 | $32 | $100 | $104 | 104% | 6–60 | $3 – $264 |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $176 | $228 | $119 | 52% | 4–40 | $128 – $459 |
| 14 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 2 | $88 | $191 | $199 | 104% | 4–40 | $10 – $480 |
| 15 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $30 | $100 | $104 | 105% | 4–40 | $3 – $264 |
| 16 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $19 | $0 | 2% | 3–30 | $19 – $20 |
| 17 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $26 | $4 | 15% | 3–30 | $21 – $29 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $76 | $100 | 133% | 3–30 | $6 – $290 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $130 | $153 | 118% | 3–30 | $19 – $384 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $36 | $135 | $195 | 144% | 3–30 | $6 – $560 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $105 | $146 | 140% | 3–30 | $6 – $425 |
| 22 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 3 | $28 | $28 | — | — | 3–30 | $28 – $28 |
| 23 | HCA FLORIDA LAWNWOOD HOSPITAL VERO BEACH, FL percent of total billed charges · outpatientfrom % of charges | 5 | $1.0k | $1.0k | $466 | 45% | 3–30 | $225 – $1.6k |
| 24 | HCA FLORIDA NORTHWEST HOSPITAL MARGATE, FL percent of total billed charges · outpatientfrom % of charges | 5 | $168 | $145 | $55 | 38% | 3–30 | $48 – $210 |
| 25 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $326 | $329 | $10 | 3% | 3–30 | $319 – $343 |
← Payers reporting HCPCS J2791 · Snapshot 20261111T120946Z-9134e7f7