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
$340
Median
$305
High
$894
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 5.1× 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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118 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $573 | $573 | $82 | 14% | — | $491 – $655 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $393 | $331 | $136 | 41% | — | $143 – $459 |
| 4 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $433 | $433 | — | — | — | $433 – $433 |
| 5 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 6 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 7 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 8 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 9 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 10 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 14 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $573 | $573 | $82 | 14% | — | $491 – $655 |
| 15 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $407 | $354 | $124 | 35% | — | $143 – $459 |
| 16 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $573 | $573 | $82 | 14% | — | $491 – $655 |
| 17 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $606 | $587 | $46 | 8% | — | $512 – $625 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $573 | $573 | $82 | 14% | — | $491 – $655 |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $393 | $331 | $136 | 41% | — | $143 – $459 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $573 | $573 | $82 | 14% | — | $491 – $655 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $407 | $354 | $124 | 35% | — | $143 – $459 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $573 | $573 | $82 | 14% | — | $491 – $655 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $407 | $354 | $124 | 35% | — | $143 – $459 |
| 25 | CONTINUING CARE HOSPITAL, INC. Lexington, KY fee schedule · inpatient | 3 | $538 | $538 | — | — | — | $538 – $538 |
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