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
Wcv/Stv Loaded Mileage
Low
$3
Average
$424
Median
$119
High
$2.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 296.7× 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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53 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 | CLAIBORNE MEDICAL CENTER Tazewell, TN other · outpatient | 3 | $737 | $755 | $113 | 15% | — | $627 – $902 |
| 2 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN other · outpatient | 3 | $737 | $755 | $113 | 15% | — | $627 – $902 |
| 3 | Capital Health System Inc Trenton, NJ case rate · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 4 | Capital Health System Inc Trenton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Capital Health System Inc Browns Mills, NJ case rate · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 6 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN other · outpatient | 3 | $738 | $757 | $113 | 15% | — | $628 – $904 |
| 12 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN other · outpatient | 3 | $738 | $757 | $113 | 15% | — | $628 – $904 |
| 13 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · other · outpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 14 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · other · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 15 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $1 | 16% | — | $4 – $5 |
| 16 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · other · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 18 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $1 | 14% | — | $4 – $5 |
| 19 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · other · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 21 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $1 | 18% | — | $4 – $5 |
| 22 | HMH HOSPITALS CORPORATION Edison, NJ facility · other · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 23 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · other · outpatient | 1 | $954 | $954 | — | — | — | $954 – $954 |
| 25 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · other · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
← Payers reporting HCPCS S0209 · Snapshot 20261111T120946Z-9134e7f7