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
Sewho cap design w/jnt(s) cf
The 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.
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691 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $587.58 | $587.58 – $587.58 |
| 2 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $2,097 | $2,097 – $2,097 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $1,075 | $1,039 – $1,093 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $1,652 | $1,039 – $2,176 |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $2,371 | $2,350 – $2,392 |
| 6 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $2,056 | $2,056 – $2,056 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $2,790 | $2,790 – $2,790 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $2,508 | $2,508 – $2,508 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $2,157 | $2,157 – $2,157 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $1,025 | $1,025 – $1,025 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 2 | $2,951 | $2,951 – $2,951 |
| 12 | Allina Health Systems Shakopee, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 13 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 14 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 1 | $2,630 | $2,630 – $2,630 |
| 15 | Allina Health Systems Owatonna, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 16 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 17 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $2,630 | $2,630 – $2,630 |
| 18 | Allina Health Systems Cambridge, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 19 | Allina Health Systems Faribualt, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 20 | Allina Health Systems Minneapolis, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 21 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 1 | $2,630 | $2,630 – $2,630 |
| 22 | Allina Health Systems Buffalo, MN facility · case rate · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 23 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $4,169 | $4,169 – $4,169 |
| 24 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $492.27 | $492.27 – $492.27 |
| 25 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $2,590 | $2,590 – $2,590 |
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