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
facility
Low
$0
Average
$316
Median
$1
High
$39.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
775 hospitals; the 90th percentile is 275.3× 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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1,045 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 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 4 | $10 | $10 | $10 | 99% | 19–28 | $1 – $38 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $53 | $172 | $301 | 175% | 14–140 | $1 – $1.2k |
| 3 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 14–140 | $0 – $0 |
| 4 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 14–140 | $1 – $1 |
| 5 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 14–140 | $1 – $1 |
| 6 | HCA FLORIDA BLAKE HOSPITAL PALMETTO, FL percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $4 | $5 | 133% | 3–30 | $0 – $18 |
| 7 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $2 | $1 | 47% | 3–30 | $1 – $3 |
| 8 | HCA FLORIDA CAPITAL HOSPITAL QUINCY, FL percent of total billed charges · outpatientfrom % of charges | 4 | $7 | $8 | $8 | 93% | 2–20 | $0 – $19 |
| 9 | HCA FLORIDA FAWCETT HOSPITAL CAPE CORAL, FL percent of total billed charges · outpatientfrom % of charges | 4 | $10 | $8 | $3 | 42% | 2–20 | $2 – $10 |
| 10 | HCA FLORIDA FORT WALTON-DESTIN HOSPITAL FT WALTON BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $41 | $41 | — | — | 2–20 | $41 – $41 |
| 11 | HCA FLORIDA LAKE CITY HOSPITAL LAKE CITY, FL percent of total billed charges · outpatientfrom % of charges | 4 | $7 | $7 | $5 | 78% | 2–20 | $0 – $13 |
| 12 | HCA FLORIDA ORANGE PARK HOSPITAL ORANGE PARK, FL percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $12 | $1 | 9% | 2–20 | $10 – $13 |
| 13 | HCA FLORIDA OSCEOLA HOSPITAL ORLANDO, FL percent of total billed charges · outpatientfrom % of charges | 4 | $19 | $17 | $9 | 53% | 2–20 | $3 – $27 |
| 14 | HCA FLORIDA SARASOTA DOCTORS HOSPITAL SARASOTA, FL percent of total billed charges · outpatientfrom % of charges | 4 | $4 | $3 | $1 | 42% | 2–20 | $1 – $5 |
| 15 | HCA FLORIDA ST. PETERSBURG HOSPITAL ST. PETERSBURG, FL percent of total billed charges · outpatientfrom % of charges | 4 | $1 | $2 | $2 | 90% | 2–20 | $0 – $6 |
| 16 | HCA FLORIDA TWIN CITIES HOSPITAL NICEVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $2 | 5% | 2–20 | $28 – $31 |
| 17 | HCA FLORIDA WEST HOSPITAL PENSACOLA, FL percent of total billed charges · outpatientfrom % of charges | 4 | $4 | $4 | $2 | 50% | 2–20 | $1 – $7 |
| 18 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 4 | $4 | $7 | $8 | 119% | 2–20 | $1 – $26 |
| 19 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $6 | $2 | 35% | 2–20 | $3 – $7 |
| 20 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $12 | $5 | 38% | 2–20 | $7 – $16 |
| 21 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $8 | $10 | 123% | 2–20 | $1 – $23 |
| 22 | HCA HEALTHONE NORTHEAST ER THORNTON, CO percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $8 | $10 | 123% | 2–20 | $1 – $23 |
| 23 | HCA HEALTHONE ROSE Denver, CO percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $12 | $5 | 38% | 2–20 | $7 – $16 |
| 24 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $6 | $2 | 35% | 2–20 | $3 – $7 |
| 25 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $6 | $2 | 35% | 2–20 | $3 – $7 |
← Payers reporting HCPCS Q0169 · Snapshot 20261111T120946Z-9134e7f7