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
$5
Average
$1.8k
Median
$958
High
$7.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 47.1× 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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40 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $846 | $846 | — | — | — | $846 – $846 |
| 3 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $981 | $981 | — | — | — | $981 – $981 |
| 5 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $981 | $981 | — | — | — | $981 – $981 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 8 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 11 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · bothfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 15 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · inpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 16 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $68 | $68 | $13 | 20% | — | $55 – $82 |
| 17 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $598 | $1.0k | $1.1k | 102% | — | $124 – $2.8k |
| 18 | HERITAGE VALLEY BEAVER BEAVER, PA percent of total billed charges · bothfrom % of charges | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 19 | HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA percent of total billed charges · bothfrom % of charges | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 20 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 21 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 22 | MEMORIAL SATILLA HEALTH Waycross, GA percent of total billed charges · outpatientfrom % of charges | 7 | $1.6k | $3.9k | $3.7k | 95% | — | $851 – $15.6k |
| 23 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $958 | $958 | — | — | — | $958 – $958 |
| 25 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | $834 | 53% | — | $751 – $2.4k |
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