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.
Generation details were not recorded for this description.
Original text from hospital filings
Fee Schedule
Low
$9
Average
$195
Median
$16
High
$1.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 29.7× 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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11 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 | Calhoun Liberty Hospital Association Inc Blountstown, FL other · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges | 1 | $473 | $473 | — | — | — | $473 – $473 |
| 3 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $8 | 48% | — | $8 – $24 |
| 4 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $8 | 50% | — | $8 – $24 |
| 5 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $7 | 45% | — | $9 – $24 |
| 7 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $8 | 47% | — | $9 – $24 |
| 8 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $7 | 45% | — | $9 – $24 |
| 9 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $7 | 45% | — | $9 – $24 |
| 10 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $7 | 45% | — | $9 – $24 |
| 11 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $7 | 45% | — | $9 – $24 |
← Payers reporting HCPCS J3488 · Snapshot 20261113T090226Z-3ce6c0b8