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
$0
Average
$409
Median
$383
High
$2.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1166 hospitals; the 90th percentile is 4.3× 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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1,862 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $228 | $224 | $51 | 23% | 22 | $113 – $293 |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $153 | $170 | $67 | 40% | 14–23 | $66 – $265 |
| 3 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $107 | $8 | 7% | 12–21 | $100 – $115 |
| 4 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 1 | $401 | $671 | $522 | 78% | 9–90 | $353 – $1.7k |
| 5 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 6–60 | $1.3k – $1.3k |
| 6 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 6–60 | $1.3k – $1.3k |
| 7 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $311 | $215 | 69% | 6–60 | $41 – $711 |
| 8 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $213 | $221 | $54 | 24% | 6–60 | $152 – $305 |
| 9 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $349 | $349 | $80 | 23% | 5–50 | $269 – $429 |
| 10 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $260 | $260 | — | — | 5–50 | $260 – $260 |
| 11 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $163 | $85 | 52% | 4–40 | $91 – $328 |
| 12 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $163 | $85 | 52% | 4–40 | $91 – $328 |
| 13 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $174 | $242 | $119 | 49% | 4–40 | $172 – $447 |
| 14 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $174 | $242 | $119 | 49% | 4–40 | $172 – $447 |
| 15 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $598 | $476 | $172 | 36% | 3–30 | $232 – $598 |
| 16 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $33 | $23 | 70% | 3–30 | $4 – $60 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $429 | $392 | $43 | 11% | 3–30 | $343 – $429 |
| 18 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $412 | — | — | 3–30 | $412 – $412 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $166 | $128 | $54 | 42% | 2–20 | $52 – $166 |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $166 | $128 | $54 | 42% | 2–20 | $52 – $166 |
| 21 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $220 | $220 | — | — | 2–20 | $220 – $220 |
| 22 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $485 | $462 | $40 | 9% | 2–20 | $393 – $485 |
| 23 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $485 | $462 | $40 | 9% | 2–20 | $393 – $485 |
| 24 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | $45 | 11% | 2–20 | $351 – $451 |
| 25 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | $45 | 11% | 2–20 | $351 – $451 |
← Payers reporting HCPCS L3808 · Snapshot 20261111T120946Z-9134e7f7