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
Description Not Available
Low
$16
Average
$592
Median
$347
High
$1.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 74.2× 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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61 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 2 | $410 | $410 | $58 | 14% | — | $352 – $467 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $425 | $425 | $74 | 17% | — | $352 – $499 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $516 | $516 | $164 | 32% | — | $352 – $680 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 9 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $930 | $930 | — | — | — | $930 – $930 |
| 10 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $930 | $930 | — | — | — | $930 – $930 |
| 12 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $382 | $382 | $30 | 8% | — | $352 – $411 |
| 18 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $416 | $416 | $28 | 7% | — | $388 – $445 |
| 20 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 21 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $374 | $374 | $22 | 6% | — | $352 – $396 |
| 23 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 24 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting HCPCS S4024 · Snapshot 20261112T181611Z-3fa9fb76