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
$1.6k
Median
$119
High
$38.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1400 hospitals; the 90th percentile is 133.3× 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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2,279 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 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $3.6k | $2.8k | $1.1k | 39% | 182–191 | $1.3k – $3.6k |
| 2 | Pitt County Memorial Hospital, Inc. Greenville, NC other · both | 2 | $35 | $35 | — | — | 110 | $35 – $35 |
| 3 | Pitt County Memorial Hospital, Inc. Washington, NC other · both | 2 | $35 | $35 | — | — | 110 | $35 – $35 |
| 4 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $51 | $51 | — | — | 57 | $51 – $51 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · both | 1 | $49 | $49 | — | — | 39 | $49 – $49 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $718 | $3.7k | $8.9k | 237% | 31 | $95 – $30.2k |
| 7 | MVHS, Inc. Utica, NY other · both | 1 | $57 | $57 | — | — | 30 | $57 – $57 |
| 8 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 1 | $2.4k | $2.4k | $1.1k | 47% | 28 | $1.3k – $3.6k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $4.9k | $8.8k | 181% | 23 | $107 – $24.2k |
| 10 | Hutchinson Hospital Hutchinson, MN facility · other · both | 2 | $47 | $47 | $3 | 6% | 22 | $44 – $50 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 8 | $85 | $85 | — | — | 18 | $85 – $85 |
| 12 | East Carolina Health-Heritage, Inc. Tarboro, NC other · both | 2 | $35 | $35 | — | — | 15 | $35 – $35 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $3.4k | $5.6k | 165% | 14 | $107 – $15.3k |
| 14 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | 12 | $2.3k – $2.3k |
| 15 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $5.5k | $2.9k | 53% | 12 | $3.4k – $9.7k |
| 16 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $56 | $95 | $212 | 223% | 11 | $56 – $1.3k |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $4.5k | $8.0k | 178% | 5–50 | $107 – $22.0k |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $631 | $6.4k | $12.2k | 189% | 5–50 | $107 – $37.0k |
| 19 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $3 | $3 | 107% | 3–30 | $0 – $8 |
| 20 | East Carolina Health Ahoskie, NC other · both | 2 | $35 | $35 | — | — | 2–20 | $35 – $35 |
| 21 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 3 | $5.6k | $5.6k | $2.6k | 45% | 2–20 | $3.1k – $8.2k |
| 22 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $406 | $406 | — | — | 2–20 | $406 – $406 |
| 23 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $406 | $406 | — | — | 2–20 | $406 – $406 |
| 24 | STONEWALL JACKSON HOSPITAL Weston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $7.6k | $7.6k | — | — | 2–20 | $7.6k – $7.6k |
| 25 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $34 | $34 | — | — | 2–20 | $34 – $34 |
← Payers reporting HCPCS Q5117 · Snapshot 20261112T124536Z-e251e855