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
S9122
Low
$27
Average
$53
Median
$44
High
$72
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 2.1× 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 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 8 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 9 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $28 | $28 | $0 | 0% | — | $28 – $28 |
| 11 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 12 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Newark Beth Israel Medical Center Newark, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 14 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 15 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 16 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 17 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 18 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | Temple Health - Chestnut Hill Hospital Philadelphia, PA facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 20 | Temple Health - Chestnut Hill Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Temple University Hospital - Episcopal Campus Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 22 | Temple University Hospital - Episcopal Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 23 | Temple University Hospital - Fox Chase Campus East Norriton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 24 | Temple University Hospital - Fox Chase Campus East Norriton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 25 | Temple University Hospital - Jeanes Campus Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
← Payers reporting HCPCS S9122 · Snapshot 20261112T124536Z-e251e855