40000004 (OTHER) by hospital — Price Transparency

OTHER · across hospitals

40000004 — Ultrasound, Chest (includes Mediastinum), Real Time With Image Documentation Copyright � 2009 By American Medical Association. All Rights Reserved.

Hospital-by-hospital median negotiated rates. Hospitals are ranked by their typical (median) negotiated rate (highest first by default; click a column to re-sort). Outliers are flagged where a hospital's median is more than 2× or less than 0.5× the cohort median (red = high, green = low).

$350 National median

$402 Cohort median

11 hospitals

4 states (national)

View state-by-state → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $259.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Outliers ↑ 1 high ↓ 0 low out of 11 hospitals

Median negotiated rate, by hospital

Ranked by typical (median) negotiated price. Red = high outlier, green = low outlier, slate = in-range. Hover for IQR.

Median negotiated rate by hospital for 40000004 (OTHER)
Hospital	State	Median	p25	p75	Outlier flag
FREEDOM BEHAVIORAL HOSPITAL OF MONROE	LA	$2,414	$2,414	$2,414	high
FRANCISCAN HEALTH INDIANAPOLIS	IN	$645	$167	$903	in range
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND	RI	$539	$415	$902	in range
FRANCISCAN HEALTH CRAWFORDSVILLE	IN	$426	$167	$611	in range
FRANCISCAN HEALTH MUNSTER	IN	$405	$108	$871	in range
FRANCISCAN HEALTH CROWN POINT	IN	$402	$167	$871	in range
FRANCISCAN HEALTH DYER	IN	$378	$108	$871	in range
FRANCISCAN HEALTH LAFAYETTE	IN	$340	$167	$633	in range
FRANCISCAN HEALTH RENSSELAER, INC	IN	$312	$167	$509	in range
FRANCISCAN HEALTH MICHIGAN CITY	IN	$311	$167	$434	in range
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS	IL	$301	$109	$868	in range

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital	State	City	Median	p25	p75	Min	Max	Cash $	Payers	Rates	Outlier

FREEDOM BEHAVIORAL HOSPITAL OF MONROE	LA	Monroe	$2,414	$2,414	$2,414	$2,414	$2,414	—	13	17	↑ 6.0× high
FRANCISCAN HEALTH INDIANAPOLIS	IN	Indianapolis	$645	$167	$903	$106	$1,310	$359	45	76	in range
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND	RI	Providence	$539	$415	$902	$73	$4,199	$426	6	16	in range
FRANCISCAN HEALTH CRAWFORDSVILLE	IN	Crawfordsville	$426	$167	$611	$105	$679	$215	58	87	in range
FRANCISCAN HEALTH MUNSTER	IN	Munster	$405	$108	$871	$108	$960	$259	44	85	in range
FRANCISCAN HEALTH CROWN POINT	IN	Crown Point	$402	$167	$871	$108	$911	$272	38	78	in range
FRANCISCAN HEALTH DYER	IN	Dyer	$378	$108	$871	$108	$960	$273	47	91	in range
FRANCISCAN HEALTH LAFAYETTE	IN	Lafayette	$340	$167	$633	$104	$703	$182	57	84	in range
FRANCISCAN HEALTH RENSSELAER, INC	IN	Rensselaer	$312	$167	$509	$127	$509	$182	56	89	in range
FRANCISCAN HEALTH MICHIGAN CITY	IN	Michigan City	$311	$167	$434	$102	$519	$135	53	83	in range
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS	IL	Olympia Fields	$301	$109	$868	$43	$868	$266	48	88	in range