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
$2
Median
$1
High
$15
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 10.3× 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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28 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 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 74% | — | $0 – $4 |
| 5 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 48% | — | $1 – $2 |
| 7 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2 | $2 | $1 | 43% | — | $1 – $2 |
| 9 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Munson Healthcare Cadillac Cadillac, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Munson Healthcare Cadillac Cadillac, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | $0 | 31% | — | $0 – $0 |
| 15 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | UPMC Cole Coudersport, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $5 | 33% | — | $10 – $20 |
| 20 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 48% | — | $1 – $2 |
| 21 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 50% | — | $1 – $2 |
| 22 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 45% | — | $1 – $2 |
| 24 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 48% | — | $1 – $2 |
| 25 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 45% | — | $1 – $2 |
← Payers reporting HCPCS J7506 · Snapshot 20261113T090226Z-3ce6c0b8