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
Fee Schedule
Low
$75
Average
$863
Median
$838
High
$2.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 22.4× 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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7 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.1k | $688 | 61% | — | $176 – $1.8k |
| 3 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $831 | $643 | $390 | 61% | — | $100 – $998 |
| 4 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $788 | $788 | — | — | — | $788 – $788 |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 7 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting HCPCS Q5102 · Snapshot 20261113T090226Z-3ce6c0b8