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
Fulphila PFS
Low
$1
Average
$2.3k
Median
$858
High
$67.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1326 hospitals; the 90th percentile is 55.7× 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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2,235 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 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 41 | $5.5k – $5.5k |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $11.4k | $11.4k | — | — | 27 | $11.4k – $11.4k |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $7.0k | $7.0k | $409 | 6% | 24 | $6.6k – $7.4k |
| 4 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 1 | $97 | $97 | — | — | 20 | $97 – $97 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $2.6k | $2.6k | 100% | 19 | $182 – $6.9k |
| 6 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $5.2k | $5.2k | — | — | 17 | $5.2k – $5.2k |
| 7 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 13 | $3.1k – $3.1k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $4.3k | $4.8k | 110% | 12 | $182 – $12.5k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $5.8k | $7.9k | 137% | 4–40 | $162 – $19.4k |
| 10 | SIERRA NEVADA MEMORIAL-MINERS HOSPITAL Grass Valley, CA fee schedule · outpatient | 4 | $245 | $218 | $47 | 22% | 3–30 | $136 – $245 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $4.6k | $5.1k | 111% | 2–20 | $182 – $13.2k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.8k | $3.8k | $3.9k | 104% | 2–20 | $223 – $10.3k |
| 13 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 14 | HCA HEALTHONE SKY RIDGE Lone Tree, CO percent of total billed charges · outpatientfrom % of charges | 1 | $25.9k | $25.9k | — | — | 2–20 | $25.9k – $25.9k |
| 15 | HCA HEALTHONE SOUTH PARKER ER PARKER, CO percent of total billed charges · outpatientfrom % of charges | 1 | $25.9k | $25.9k | — | — | 2–20 | $25.9k – $25.9k |
| 16 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 17 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.3k | $17.3k | — | — | 1–10 | $17.3k – $17.3k |
| 18 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 19 | East Carolina Health Ahoskie, NC other · both | 1 | $132 | $132 | — | — | 1–10 | $132 – $132 |
| 20 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 3 | $3.3k | $3.4k | $395 | 12% | 1–10 | $3.0k – $4.0k |
| 21 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | — | — | 1–10 | $7.2k – $7.2k |
| 22 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $2.7k | $2.7k | $93 | 3% | 1–10 | $2.7k – $2.8k |
| 23 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $8.8k | $8.0k | $1.8k | 23% | 1–10 | $4.9k – $9.4k |
| 24 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 25 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $4.1k | $4.1k | $615 | 15% | 1–10 | $3.1k – $4.7k |
← Payers reporting HCPCS Q5108 · Snapshot 20261111T120946Z-9134e7f7