HCPCS Q4425
Low
$65
Average
$156
Median
$147
High
$483
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
58 hospitals; the 90th percentile is 1.9× 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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61 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 2 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 4 | Craig Hospital Englewood, CO facility · case rate · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 5 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 6 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 7 | HEART HOSP OF AUSTIN Austin, TX fee schedule · outpatient | 3 | $210 | $192 | $26 | 13% | — | $155 – $210 |
| 8 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX fee schedule · outpatient | 3 | $210 | $192 | $26 | 13% | — | $155 – $210 |
| 9 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 10 | Kalkaska Memorial Health Center Kalkaska, MI facility · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 11 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 2 | $116 | $116 | — | — | — | $116 – $116 |
| 12 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 13 | MEMORIAL SATILLA HEALTH Waycross, GA fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 14 | MISSION HOSPITAL Arden, NC fee schedule · outpatient | 1 | $483 | $483 | — | — | — | $483 – $483 |
| 15 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 16 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 17 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 18 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 19 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 20 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 21 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 22 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 23 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 2 | $88 | $88 | $28 | 31% | — | $61 – $116 |
| 24 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 25 | Munson Medical Center Traverse City, MI facility · fee schedule · outpatient | 2 | $88 | $88 | $28 | 31% | — | $61 – $116 |
← Payers reporting HCPCS Q4425 · Snapshot 20261113T090226Z-3ce6c0b8