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
$248
Median
$1
High
$59.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
956 hospitals; the 90th percentile is 92.1× 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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1,282 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $1.8k | $1.8k | $1.1k | 61% | 17–53 | $705 – $2.9k |
| 2 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $110 | $92 | $93 | 101% | 10–100 | $1 – $219 |
| 3 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $27 | $49 | 181% | 5–50 | $2 – $124 |
| 4 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $115 | $79 | 69% | 5–50 | $7 – $187 |
| 5 | Proctor Community Hospital Peoria, IL other · outpatient | 1 | $3 | $3 | — | — | 5–50 | $3 – $3 |
| 6 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA case rate · both | 1 | $44 | $35 | $24 | 70% | 5–50 | $6 – $60 |
| 7 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $2 | $1 | 49% | 4–40 | $1 – $4 |
| 8 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $2 | $1 | 51% | 4–40 | $1 – $4 |
| 9 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $2 | $1 | 49% | 4–40 | $1 – $4 |
| 10 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $1 | $1 | 71% | 3–30 | $1 – $2 |
| 11 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $2 | $3 | $1 | 23% | 3–30 | $2 – $4 |
| 12 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $2 | 60% | 2–20 | $1 – $5 |
| 13 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 1 | $11.7k | $11.7k | — | — | 1–10 | $11.7k – $11.7k |
| 14 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 15 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $59.6k | $59.6k | — | — | 1–10 | $59.6k – $59.6k |
| 16 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1 | $132 | $141 | 107% | 1–10 | $0 – $296 |
| 17 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 6 | $28 | $56 | $63 | 112% | 1–10 | $1 – $164 |
| 18 | Shelby County Memorial Hospital Assocation Sidney, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $0 | 5% | 1–10 | $2 – $2 |
| 19 | St. Peter's Health Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 20 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q0169 · Snapshot 20261111T120946Z-9134e7f7