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
facility
Low
$1
Average
$350
Median
$323
High
$1.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1002 hospitals; the 90th percentile is 3.0× 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.
Filter by billing methodology
Filter by billing class
1,527 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $107 | $139 | $73 | 52% | 4–40 | $78 – $280 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $107 | $139 | $73 | 52% | 4–40 | $78 – $280 |
| 3 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $228 | $244 | $81 | 33% | 4–40 | $143 – $341 |
| 4 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 2 | $284 | $284 | $20 | 7% | 2–20 | $258 – $312 |
| 5 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 3 | $298 | $276 | $49 | 18% | 2–20 | $202 – $330 |
| 6 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 7 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | 1–10 | $205 – $205 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $323 | $323 | — | — | 1–10 | $323 – $323 |
| 9 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 10 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $312 | $312 | — | — | 1–10 | $312 – $312 |
| 11 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · bothfrom % of charges | 1 | $411 | $411 | — | — | 1–10 | $411 – $411 |
| 12 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $276 | $23 | 8% | 1–10 | $253 – $298 |
| 13 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 14 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $705 | $705 | $101 | 14% | — | $605 – $806 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $524 | $447 | $160 | 36% | — | $176 – $564 |
| 18 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 19 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $551 | $551 | $229 | 42% | — | $321 – $780 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $407 | $341 | $102 | 30% | — | $197 – $420 |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $295 | $293 | $118 | 40% | — | $159 – $420 |
| 23 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $170 | $170 | $69 | 40% | — | $102 – $239 |
| 24 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 25 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
← Payers reporting HCPCS L3702 · Snapshot 20261111T120946Z-9134e7f7