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
N-et; encounter/trip
Low
$18
Average
$58
Median
$60
High
$95
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 3.4× 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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68 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 | "Savoy Medical Management Group, Inc." Mamou, LA facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $22 | $22 | $3 | 13% | — | $18 – $27 |
| 4 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 12 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 13 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 14 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 15 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 16 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 17 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 18 | Indiana University Health Frankfort Inc. Frankfort, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 21 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 22 | Indiana University Health Jay Inc. Portland, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 23 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 24 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 25 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
← Payers reporting HCPCS T2003 · Snapshot 20261113T090226Z-3ce6c0b8