Low
$11
Average
$36
Median
$27
High
$113
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 5.3× 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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37 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 | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $60 | $60 | $1 | 1% | — | $59 – $60 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $59 | $59 | — | — | — | $59 – $59 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Childrens Hospital of Orange County - Profit Orange, CA facility · fee schedule · outpatient | 2 | $113 | $113 | — | — | — | $113 – $113 |
| 10 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 11 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Eastern Maine Medical Center Bangor, ME facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 15 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 2 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Hardin County General Hospital Savannah, TN facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 19 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 2 | $59 | $59 | — | — | — | $59 – $59 |
| 24 | Ozark Health Inc. Clinton, AR other · both | 1 | $25 | $25 | $3 | 14% | — | $21 – $30 |
| 25 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 2 | $12 | $12 | $1 | 6% | — | $11 – $13 |
← Payers reporting HCPCS S5013 · Snapshot 20261113T090226Z-3ce6c0b8