Low
$6
Average
$87
Median
$38
High
$721
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
169 hospitals; the 90th percentile is 13.7× 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.
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215 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | 15 | $91 – $91 |
| 2 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $9 | 24% | 2–20 | $27 – $44 |
| 3 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $20 | $20 | $0 | 1% | — | $20 – $20 |
| 6 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $40 – $54 |
| 7 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $41 – $54 |
| 8 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $39 | $8 | 20% | — | $32 – $50 |
| 9 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $40 – $54 |
| 10 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $41 – $54 |
| 11 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $53 | $57 | $8 | 14% | — | $49 – $68 |
| 12 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $53 | $57 | $8 | 14% | — | $50 – $68 |
| 13 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $39 | $8 | 20% | — | $32 – $50 |
| 14 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $40 – $54 |
| 15 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $41 – $54 |
| 16 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $40 – $54 |
| 17 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $41 – $54 |
| 18 | Allina Health Systems River Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 3 | $60 | $64 | $9 | 14% | — | $56 – $77 |
| 19 | Allina Health Systems River Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $61 | $65 | $9 | 14% | — | $56 – $78 |
| 20 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $39 | $8 | 20% | — | $32 – $50 |
| 21 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $40 – $54 |
| 22 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $46 | $6 | 13% | — | $41 – $54 |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $62 | $62 | — | — | — | $62 – $62 |
| 24 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $40 | $40 | $1 | 3% | — | $39 – $41 |
| 25 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $41 | $47 | $10 | 21% | — | $39 – $60 |
← Payers reporting HCPCS L4002 · Snapshot 20261111T120946Z-9134e7f7