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
$435
Median
$449
High
$2.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1063 hospitals; the 90th percentile is 6.5× 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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1,667 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Eskenazi Health Indianapolis, IN facility · fee schedule · outpatient | 5 | $30 | $134 | $127 | 95% | 16–52 | $30 – $289 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 16 | $117 – $117 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $237 | $257 | $45 | 18% | 15–33 | $203 – $336 |
| 4 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 2 | $373 | $380 | $48 | 13% | 12–120 | $310 – $456 |
| 5 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 2 | $323 | $323 | $110 | 34% | 7–70 | $94 – $490 |
| 6 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $308 | — | — | 6–60 | $308 – $308 |
| 7 | Eskenazi Health Indianapolis, IN facility · fee schedule · both | 2 | $289 | $289 | — | — | 4–40 | $289 – $289 |
| 8 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 3 | $11 | $19 | $18 | 95% | 3–30 | $5 – $62 |
| 9 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 2 | $298 | $270 | $160 | 59% | 3–30 | $50 – $464 |
| 10 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 17 | $316 | $449 | $314 | 70% | 2–20 | $93 – $854 |
| 11 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 5 | $392 | $425 | $65 | 15% | 2–20 | $392 – $556 |
| 12 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 5 | $392 | $425 | $65 | 15% | 2–20 | $392 – $556 |
| 13 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $366 | $372 | $163 | 44% | 2–20 | $202 – $555 |
| 14 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 2 | $612 | $612 | $58 | 9% | 2–20 | $554 – $670 |
| 15 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 2 | $612 | $612 | $58 | 9% | 2–20 | $554 – $670 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $281 | $281 | $70 | 25% | 2–20 | $211 – $350 |
| 17 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $635 | $687 | $196 | 29% | 2–20 | $476 – $949 |
| 18 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $554 | $554 | $72 | 13% | 2–20 | $482 – $626 |
| 19 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $256 | $30 | 12% | 2–20 | $226 – $287 |
| 20 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 5 | $392 | $425 | $65 | 15% | 1–10 | $392 – $556 |
| 21 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 5 | $392 | $425 | $65 | 15% | 1–10 | $392 – $556 |
| 22 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 5 | $392 | $425 | $65 | 15% | 1–10 | $392 – $556 |
| 23 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 5 | $392 | $425 | $65 | 15% | 1–10 | $392 – $556 |
| 24 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | 1–10 | $305 – $305 |
| 25 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
← Payers reporting HCPCS L3906 · Snapshot 20261111T120946Z-9134e7f7