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
Trnsplj don-drv cll-fr dna
Wellsville, NY
See all hospitals reporting CPT 0118U →Price type
Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp’s median price of $2.8k is 4% below the median hospital's median price ($2.9k), higher than 9% of the 1,293 hospitals reporting CPT 0118U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare 515803 fee schedule · outpatient | $1,156 | $1,156 | $1,156 – $1,156 |
| 2 | Highmark highmark bcbs medicaid 170201 child health plus 170204 fee schedule · outpatient | $2,533 | $2,533 | $2,533 – $2,533 |
| 3 | Cigna mvp commercial ppo fully insured 290006, cigna healthcare (pob 182223) 514405 fee schedule · outpatient | $2,588 | $2,588 | $2,588 – $2,588 |
| 4 | Highmark highmark bcbs medicare 130101 fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 5 | Humana humana medicare 131201 fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 6 | UnitedHealthcare united healthcare medicare 130901 fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 7 | WellCare wellcare medicare 131001 fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 8 | Aetna aetna medicare 130001 fee schedule · outpatient | $2,918 | $2,918 | $2,918 – $2,918 |
| 9 | Excellus excellus 220101, excellus simply blue 220106, excellus blue choice 220107 fee schedule · outpatient | $3,092 | $3,092 | $3,092 – $3,092 |
| 10 | Excellus excellus metal tiers 220102 fee schedule · outpatient | $3,092 | $3,092 | $3,092 – $3,092 |
| 11 | Highmark highmark bcbs 514301 hmo / pos fee schedule · outpatient | $4,418 | $4,418 | $4,418 – $4,418 |
| 12 | Aetna aetna 270002 fee schedule · outpatient | $4,543 | $4,543 | $4,543 – $4,543 |
| 13 | Highmark highmark bcbs 514301 indemnity / ppo fee schedule · outpatient | $5,558 | $5,558 | $5,558 – $5,558 |
Last updated: Jan 1, 2026
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