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.
Generation details were not recorded for this description.
Original text from hospital filings
Conformity Evaluation
Low
$20
Average
$67
Median
$41
High
$457
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 4.4× 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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26 hospital rates
iThe hospitals that file a Aetna Better Health 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 6 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 9 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 10 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 11 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 12 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 13 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 14 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · inpatientfrom % of charges | 1 | $469 | $469 | — | — | — | $469 – $469 |
| 15 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 16 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 17 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 18 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 20 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 21 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | The Carle Foundation Hospital Urbana, IL fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 25 | The Carle Foundation Hospital Urbana, IL fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
← Payers reporting HCPCS V5020 · Snapshot 20261111T120946Z-9134e7f7