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
$104
Median
$98
High
$1.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1060 hospitals; the 90th percentile is 3.7× 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
1,621 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 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $66 | $49 | 75% | 48–480 | $20 – $228 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 4 | $25 | $26 | $1 | 6% | 13 | $25 – $29 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $107 | $134 | $78 | 58% | 7–70 | $13 – $288 |
| 4 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 17 | $323 | $309 | $58 | 19% | 2–20 | $184 – $366 |
| 5 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ other · outpatient | 1 | $96 | $96 | — | — | 2–20 | $96 – $96 |
| 6 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ other · outpatient | 1 | $96 | $96 | — | — | 2–20 | $96 – $96 |
| 7 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 8 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 5 | $74 | $80 | $12 | 15% | 1–10 | $74 – $105 |
| 9 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 5 | $74 | $80 | $12 | 15% | 1–10 | $74 – $105 |
| 10 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 5 | $74 | $80 | $12 | 15% | 1–10 | $74 – $105 |
| 11 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 5 | $74 | $80 | $12 | 15% | 1–10 | $74 – $105 |
| 12 | Baptist Health Medical Center - Arkadelphia Arkadelphia, AR other · outpatient | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 13 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | 1–10 | $81 – $81 |
| 14 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $85 | $85 | $3 | 4% | 1–10 | $81 – $88 |
| 15 | High Point Regional Health High Point, NC other · outpatient | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 16 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 17 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 18 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $118 | $116 | $4 | 4% | 1–10 | $108 – $118 |
| 19 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 20 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $48 | $64 | $23 | 35% | — | $48 – $96 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $48 | $65 | $24 | 37% | — | $48 – $98 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | $11 | 14% | — | $67 – $93 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
← Payers reporting HCPCS L3923 · Snapshot 20261111T120946Z-9134e7f7