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
$221
Average
$5.9k
Median
$3.3k
High
$17.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 29.6× 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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77 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 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 2 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $9.1k | $9.1k | $1.7k | 19% | — | $7.0k – $11.3k |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $507 | $507 | — | — | — | $507 – $507 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $507 | $507 | — | — | — | $507 – $507 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $507 | $507 | — | — | — | $507 – $507 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $507 | $507 | — | — | — | $507 – $507 |
| 9 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 10 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $492 | $492 | $0 | 0% | — | $492 – $492 |
| 11 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9.8k | $9.8k | $2.7k | 28% | — | $7.0k – $12.5k |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 14 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 16 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 17 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 18 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $727 | $727 | — | — | — | $727 – $727 |
| 19 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $643 | $643 | — | — | — | $643 – $643 |
| 20 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $712 | $712 | — | — | — | $712 – $712 |
| 21 | Denver Health and Hospital Authority Denver, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 22 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $3.0k | $3.0k | $1.4k | 49% | — | $1.5k – $4.4k |
| 24 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.0k | $1.4k | 49% | — | $1.5k – $4.4k |
| 25 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · inpatientfrom % of charges | 4 | $8.6k | $9.0k | $4.3k | 48% | — | $4.1k – $14.4k |
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