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
HC Hfo W/O Jnt Prefab Custom by Expertise Tier1
Low
$0
Average
$122
Median
$99
High
$1.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1123 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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1,744 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 | $45 | $48 | $16 | 32% | 28–280 | $18 – $71 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | 22 | $28 – $28 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $152 | $154 | $80 | 52% | 12–120 | $17 – $272 |
| 4 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $57 | $62 | $26 | 41% | 8–80 | $38 – $97 |
| 5 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $57 | $62 | $26 | 41% | 8–80 | $38 – $97 |
| 6 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $83 | $118 | $64 | 54% | 5–50 | $23 – $193 |
| 7 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $102 | $25 | 25% | 3–30 | $82 – $138 |
| 8 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $45 | $3 | 7% | 2–20 | $42 – $48 |
| 9 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | $5 | 6% | 2–20 | $75 – $84 |
| 10 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $111 | $102 | $11 | 11% | 2–20 | $88 – $111 |
| 11 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 12 | Lafayette County Darlington, WI facility · other · inpatient | 1 | $478 | $478 | — | — | 1–10 | $478 – $478 |
| 13 | Lafayette County Darlington, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $280 | $280 | $45 | 16% | 1–10 | $235 – $325 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 15 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 1–10 | $98 – $98 |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 17 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | $9 | 14% | — | $57 – $75 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $66 | $70 | $25 | 35% | — | $41 – $105 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $38 | $44 | $22 | 49% | — | $12 – $74 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $80 | $85 | $11 | 13% | — | $75 – $100 |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $184 | $184 | $77 | 42% | — | $107 – $261 |
| 22 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $42 | $43 | $24 | 56% | — | $5 – $104 |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $122 | $96 | $33 | 34% | — | $32 – $126 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $60 | $83 | $36 | 44% | — | $26 – $126 |
← Payers reporting HCPCS L3923 · Snapshot 20261111T120946Z-9134e7f7