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.
Generation details were not recorded for this description.
Original text from hospital filings
FERN TEST NONL
Low
$3
Average
$27
Median
$12
High
$6.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1175 hospitals; the 90th percentile is 4.1× 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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1,587 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 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 4 | $49 | $39 | $17 | 44% | 84 | $10 – $49 |
| 2 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $49 | $39 | $17 | 44% | 51 | $10 – $49 |
| 3 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 5 | $45 | $43 | $11 | 25% | 5–50 | $26 – $60 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $5 | $6 | $3 | 52% | 4–40 | $3 – $12 |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $4 | $5 | $3 | 52% | 4–40 | $3 – $11 |
| 6 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $14 | $13 | $4 | 29% | 2–20 | $7 – $16 |
| 7 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 8 | Advocate Sherman Hospital Elgin, IL percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 9 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 12 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 13 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 2 | $20 | $20 | $10 | 52% | 1–10 | $10 – $31 |
| 14 | Holy Redeemer Health System Meadowbrook, PA facility · other · outpatient | 1 | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 15 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $25 | $23 | $3 | 11% | 1–10 | $19 – $25 |
| 16 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $7 | 47% | 1–10 | $8 – $21 |
| 17 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $14 | $20 | $14 | 69% | 1–10 | $9 – $47 |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $63 | $59 | $6 | 10% | 1–10 | $51 – $63 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $63 | $59 | $6 | 10% | 1–10 | $51 – $63 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 21 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $8 | 82% | 1–10 | $2 – $18 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 2 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $50 | $55 | $9 | 16% | — | $47 – $67 |
| 25 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 3 | $69 | $69 | $22 | 32% | — | $42 – $96 |
← Payers reporting HCPCS Q0114 · Snapshot 20261111T120946Z-9134e7f7