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
Tlso rig fram pelvic pre ots
Low
$116
Average
$980
Median
$1.2k
High
$1.3k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 4.8× 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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22 hospital rates
iThe hospitals that file a MultiPlan 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $280 | $280 | — | — | — | $280 – $280 |
| 5 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 1 | $280 | $280 | — | — | — | $280 – $280 |
| 6 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | HMH HOSPITALS CORPORATION Edison, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | HMH HOSPITALS CORPORATION Brick, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | HMH HOSPITALS CORPORATION Edison, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | UCHealth Estes Valley Medical Center Estes Park, CO fee schedule · both | 1 | $474 | $474 | — | — | — | $474 – $474 |
| 18 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
← Payers reporting HCPCS L0469 · Snapshot 20261112T181611Z-3fa9fb76