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
$22
Average
$450
Median
$351
High
$1.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 33.8× 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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27 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 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $756 | $756 | — | — | — | $756 – $756 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 11 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 14 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.8k | $1.8k | 96% | — | $71 – $4.2k |
| 15 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.8k | $1.7k | 96% | — | $70 – $4.1k |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 17 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $974 | $974 | — | — | — | $974 – $974 |
| 18 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 19 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $715 | $715 | — | — | — | $715 – $715 |
| 20 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $351 | $351 | $32 | 9% | — | $319 – $383 |
| 21 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $494 | $494 | — | — | — | $494 – $494 |
| 22 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 23 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 24 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $682 | $682 | — | — | — | $682 – $682 |
| 25 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $45 | $9 | 19% | — | $36 – $55 |
← Payers reporting HCPCS J7401 · Snapshot 20261113T090226Z-3ce6c0b8