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
$0
Average
$1.6k
Median
$408
High
$56.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1531 hospitals; the 90th percentile is 39.1× 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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2,533 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $6.8k | $7.8k | $1.2k | 16% | 110 | $5.1k – $9.0k |
| 2 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 22 | $1.4k – $1.4k |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · both | 1 | $102 | $102 | — | — | 20 | $102 – $102 |
| 4 | Pitt County Memorial Hospital, Inc. Greenville, NC other · both | 2 | $128 | $128 | — | — | 14 | $128 – $128 |
| 5 | Pitt County Memorial Hospital, Inc. Washington, NC other · both | 2 | $128 | $128 | — | — | 14 | $128 – $128 |
| 6 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $132 | $132 | — | — | 13 | $132 – $132 |
| 7 | 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 | $9.4k | $8.8k | $1.5k | 17% | 11 | $4.3k – $9.4k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $4.5k | $5.9k | 131% | 2–20 | $162 – $14.7k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $4.7k | $5.1k | 107% | 2–20 | $182 – $11.8k |
| 10 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $8.9k | $8.9k | $4.0k | 45% | 2–20 | $4.9k – $12.9k |
| 12 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 6 | $129 | $737 | $1.4k | 186% | 2–20 | $100 – $3.8k |
| 13 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 5 | $207 | $219 | $65 | 30% | 1–10 | $136 – $337 |
| 14 | East Carolina Health Ahoskie, NC other · both | 2 | $128 | $128 | — | — | 1–10 | $128 – $128 |
| 15 | East Carolina Health-Heritage, Inc. Tarboro, NC other · both | 2 | $128 | $128 | — | — | 1–10 | $128 – $128 |
| 16 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $1.7k | $2.6k | $1.3k | 49% | 1–10 | $1.7k – $4.4k |
| 17 | Mercy Medical Center-Clinton Inc Clinton, IA facility · other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 18 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 19 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 20 | Parkland Health Center Farmington, MO other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 21 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $2.6k | $2.5k | $153 | 6% | 1–10 | $2.1k – $2.6k |
| 22 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $2.6k | $2.5k | $153 | 6% | 1–10 | $2.1k – $2.6k |
| 23 | Plymouth Medical Center Plymouth, IN facility · other · both | 2 | $77 | $77 | $22 | 28% | 1–10 | $55 – $99 |
| 24 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · both | 1 | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 25 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
← Payers reporting HCPCS Q5108 · Snapshot 20261112T124536Z-e251e855