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
$4
Average
$24
Median
$10
High
$3.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1211 hospitals; the 90th percentile is 4.4× 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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1,637 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 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 6 | $11 | $11 | $1 | 8% | 48–66 | $10 – $12 |
| 2 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 6 | $8 | $8 | $2 | 26% | 29–38 | $6 – $10 |
| 3 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $11 | $11 | $1 | 8% | 26 | $10 – $12 |
| 4 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 7 | $10 | $8 | $2 | 30% | 12 | $4 – $10 |
| 5 | Fairview Health Services Burnsville, MN other · inpatient | 3 | $17 | $15 | $3 | 24% | 6–60 | $10 – $17 |
| 6 | Fairview Health Services Princeton, MN other · inpatient | 2 | $17 | $17 | $0 | 1% | 4–40 | $17 – $18 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $5 | $4 | $1 | 18% | 3–30 | $3 – $5 |
| 8 | Fairview Health Services Edina, MN other · inpatient | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 9 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $26 | $26 | — | — | 2–20 | $26 – $26 |
| 10 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 11 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 12 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC other · outpatient | 2 | $49 | $49 | — | — | 2–20 | $49 – $49 |
| 13 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 14 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 15 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 16 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 5 | $12 | $11 | $1 | 7% | 1–10 | $10 – $12 |
| 17 | Holy Redeemer Health System Meadowbrook, PA facility · other · outpatient | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 18 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 19 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | 1–10 | $32 – $32 |
| 20 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 21 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
| 22 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 23 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $16 | $16 | $6 | 38% | — | $10 – $22 |
← Payers reporting HCPCS Q0114 · Snapshot 20261112T124536Z-e251e855