RC 571
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
G0156
Low
$0
Average
$187
Median
$63
High
$889
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 38.8× 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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47 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 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 2 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 3 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 4 | Benefis Community Care, Inc Great Falls, MT other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 7 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 8 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $8 | 7% | — | $105 – $120 |
| 9 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT facility · percent of total billed charges · inpatientfrom % of charges | 3 | $38 | $38 | — | — | — | $38 – $38 |
| 10 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $38 | — | — | — | $38 – $38 |
| 11 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 12 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 7 | $31 | $44 | $38 | 86% | — | $11 – $214 |
| 13 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $17 | $17 | $2 | 13% | — | $17 – $28 |
| 14 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 25 | $17 | $17 | $2 | 13% | — | $17 – $28 |
| 15 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 25 | $17 | $17 | $2 | 13% | — | $17 – $28 |
| 16 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $17 | $17 | $2 | 13% | — | $17 – $28 |
| 17 | NYU Langone Hospital?Suffolk Patchogue, NY percent of total billed charges · bothfrom % of charges | 25 | $17 | $17 | $2 | 13% | — | $17 – $28 |
| 18 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $501 | $537 | $166 | 31% | — | $272 – $741 |
| 19 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 3 | $607 | $494 | $184 | 37% | — | $234 – $642 |
| 20 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $468 | $520 | $206 | 40% | — | $202 – $813 |
| 21 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $875 | $688 | $325 | 47% | — | $230 – $958 |
| 22 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 6 | $729 | $745 | $348 | 47% | — | $258 – $1.2k |
| 23 | Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL percent of total billed charges · outpatientfrom % of charges | 3 | $663 | $889 | $370 | 42% | — | $593 – $1.4k |
| 24 | Northwestern Medicine Valley West Hospital Sandwich, IL percent of total billed charges · outpatientfrom % of charges | 4 | $707 | $688 | $268 | 39% | — | $358 – $978 |
| 25 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $437 | $573 | $381 | 66% | — | $274 – $1.4k |
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