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
$5
Average
$285
Median
$170
High
$2.3k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
112 hospitals; the 90th percentile is 20.1× 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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144 hospital rates
iThe hospitals that file a Optum 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 | $113 | $113 | — | — | — | $113 – $113 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | $8 | 5% | — | $164 – $180 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 4 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $5 | $5 | $0 | 2% | — | $5 – $5 |
| 6 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 7 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $525 | — | — | — | $525 – $525 |
| 8 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $525 | — | — | — | $525 – $525 |
| 9 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | $60 | 3% | — | $2.2k – $2.4k |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | $7 | 5% | — | $131 – $144 |
| 11 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 3 | $126 | $170 | $85 | 50% | — | $94 – $289 |
| 12 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | $8 | 5% | — | $164 – $180 |
| 13 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 14 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $151 | $151 | $8 | 6% | — | $140 – $163 |
| 15 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | $7 | 5% | — | $136 – $150 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | $8 | 5% | — | $164 – $180 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | $8 | 5% | — | $164 – $180 |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | $8 | 5% | — | $164 – $180 |
| 22 | Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $273 | $273 | — | — | — | $273 – $273 |
| 24 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 25 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
← Payers reporting HCPCS J2791 · Snapshot 20261111T120946Z-9134e7f7