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
HC MOXI B 7-RT
Low
$0
Average
$2.0k
Median
$1.6k
High
$12.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
203 hospitals; the 90th percentile is 8.0× 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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255 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 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | — | — | 12–120 | $307 – $307 |
| 2 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $400 | $400 | — | — | 12–120 | $400 – $400 |
| 3 | Connecticut Children's Hartford, CT percent of total billed charges · outpatientfrom % of charges | 2 | $487 | $826 | $684 | 83% | 10–100 | $241 – $2.3k |
| 4 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $593 | 44% | 8–80 | $588 – $2.2k |
| 5 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $945 | $1.1k | $561 | 53% | 8–80 | $250 – $2.0k |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.6k | $562 | 22% | 5–50 | $2.0k – $3.5k |
| 7 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $537 | $566 | $148 | 26% | 3–30 | $401 – $761 |
| 8 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $273 | 20% | 3–30 | $1.1k – $1.7k |
| 9 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2k | $2k | $200 | 10% | 2–20 | $1.8k – $2.2k |
| 10 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 6 | $1.2k | $1.3k | $632 | 50% | — | $262 – $2.8k |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $1.5k | $1.6k | $939 | 58% | — | $482 – $3.4k |
| 13 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 14 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $3.2k | $3.2k | $0 | 0% | — | $3.2k – $3.2k |
| 15 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Banner Desert Medical Center Mesa, AZ facility · case rate · outpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 18 | Banner Desert Medical Center Mesa, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | $622 | 42% | — | $653 – $2.3k |
| 19 | Banner Desert Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 6 | $1.1k | $1.2k | $654 | 56% | — | $248 – $2.6k |
| 20 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $4.3k | $4.3k | $42 | 1% | — | $4.3k – $4.3k |
| 22 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | $23 | 2% | — | $1.0k – $1.0k |
| 23 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 24 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 1 | $260 | $364 | $158 | 44% | — | $208 – $598 |
| 25 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $446 | $546 | $245 | 45% | — | $290 – $1.0k |
← Payers reporting HCPCS V5257 · Snapshot 20261111T120946Z-9134e7f7