Low
$29
Average
$102
Median
$67
High
$431
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 11.7× 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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36 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $68 | $68 | $1 | 1% | — | $67 – $68 |
| 3 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $431 | $431 | $4 | 1% | — | $427 – $435 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $155 | $201 | $64 | 32% | — | $155 – $292 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $67 | $67 | — | — | — | $67 – $67 |
| 7 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $67 | $67 | — | — | — | $67 – $67 |
| 8 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 11 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $431 | $431 | $4 | 1% | — | $427 – $435 |
| 12 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Eastern Maine Medical Center Bangor, ME facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $29 | $29 | — | — | — | $29 – $29 |
| 15 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 16 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 17 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 2 | $67 | $67 | — | — | — | $67 – $67 |
| 18 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $431 | $431 | $4 | 1% | — | $427 – $435 |
| 22 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 2 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 2 | $67 | $67 | — | — | — | $67 – $67 |
| 24 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 2 | $31 | $31 | $2 | 6% | — | $29 – $32 |
| 25 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Payers reporting HCPCS S1002 · Snapshot 20261113T090226Z-3ce6c0b8