96121 (OTHER) by hospital — Price Transparency

OTHER · across hospitals

96121 — Nubhvl Xm Phy/qhp Ea Addl Hr

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).

$76 National median

$87 Cohort median

15 hospitals

9 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: $78.

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 ↑ 4 high ↓ 0 low out of 15 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 96121 (OTHER)
Hospital	State	Median	p25	p75	Outlier flag
University Of Arkansas Medical Sciences-transplant	AR	$388	$388	$388	high
Carle Richland Memorial Hospital	IL	$332	$332	$339	high
CARLE HOOPESTON REGIONAL HEALTH CENTER	IL	$312	$292	$324	high
CAPITAL DISTRICT PSYCH CENTER	NY	$189	$189	$189	high
CLARION HOSPITAL	PA	$104	$78	$157	in range
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON	MI	$96	$90	$101	in range
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON	MI	$93	$65	$104	in range
Prairie View Inc	KS	$87	$84	$96	in range
PROVIDENT HOSPITAL OF CHICAGO	IL	$86	$75	$97	in range
JOHN H STROGER JR HOSPITAL	IL	$86	$75	$97	in range
NEW LONDON HOSPITAL	NH	$83	$73	$102	in range
ST GABRIELS HOSPITAL	MN	$81	$75	$81	in range
UNIVERSITY HEALTH SYSTEM, INC	TN	$79	$73	$102	in range
MC DONOUGH DISTRICT HOSPITAL	IL	$72	$64	$733	in range
PENN HIGHLANDS MON VALLEY	PA	$68	$63	$72	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

University Of Arkansas Medical Sciences-transplant	AR	Little Rock	$388	$388	$388	$388	$388	$68	7	20	↑ 4.4× high
Carle Richland Memorial Hospital	IL	Olney	$332	$332	$339	$298	$343	$390	4	5	↑ 3.8× high
CARLE HOOPESTON REGIONAL HEALTH CENTER	IL	Hoopeston	$312	$292	$324	$273	$326	$390	5	5	↑ 3.6× high
CAPITAL DISTRICT PSYCH CENTER	NY	Albany	$189	$189	$189	$189	$189	—	10	10	↑ 2.2× high
CLARION HOSPITAL	PA	Clarion	$104	$78	$157	$69	$175	—	3	6	in range
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON	MI	Carson City	$96	$90	$101	$42	$120	$66	6	9	in range
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON	MI	Charlotte	$93	$65	$104	$42	$120	$66	6	14	in range
Prairie View Inc	KS	Newton	$87	$84	$96	$77	$127	$205	5	14	in range
PROVIDENT HOSPITAL OF CHICAGO	IL	Chicago	$86	$75	$97	$68	$125	$78	3	10	in range
JOHN H STROGER JR HOSPITAL	IL	Chicago	$86	$75	$97	$68	$125	$78	3	10	in range
NEW LONDON HOSPITAL	NH	New London	$83	$73	$102	$64	$170	—	10	41	in range
ST GABRIELS HOSPITAL	MN	Little Falls	$81	$75	$81	$72	$194	$102	6	10	in range
UNIVERSITY HEALTH SYSTEM, INC	TN	Knoxville	$79	$73	$102	$64	$138	—	15	104	in range
MC DONOUGH DISTRICT HOSPITAL	IL	Macomb	$72	$64	$733	$38	$733	—	16	76	in range
PENN HIGHLANDS MON VALLEY	PA	Monongahela	$68	$63	$72	$59	$91	—	7	74	in range