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
S9128
Low
$33
Average
$194
Median
$128
High
$381
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 4.6× 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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18 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 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 3 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 6 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 8 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 9 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $32 | $33 | $21 | 62% | — | $9 – $65 |
| 10 | NYU Langone New York, NY per diem · both | 22 | $381 | $381 | — | — | — | $381 – $381 |
| 11 | NYU Langone Mineola, NY per diem · both | 26 | $355 | $354 | $3 | 1% | — | $347 – $355 |
| 12 | NYU Langone Brooklyn, NY per diem · both | 22 | $230 | $230 | — | — | — | $230 – $230 |
| 13 | NYU Langone New York, NY per diem · both | 22 | $381 | $381 | — | — | — | $381 – $381 |
| 14 | NYU Langone Hospital?Suffolk Patchogue, NY per diem · both | 27 | $217 | $215 | $6 | 3% | — | $199 – $217 |
| 15 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 16 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 17 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 18 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
← Payers reporting HCPCS S9128 · Snapshot 20261111T120946Z-9134e7f7