APC N902

Packaged services included in other charges

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Packaged Services

Cigna pricing summary

Low

Average

$1.7k

Median

$261

High

$35.1k

Cigna rate distribution

Filter by billing methodology

Filter by billing class

155 hospital rates

#		Plans
1	Stanford Health Care Stanford, CA other · outpatient	4	$54	$398	$601	151%	430–448	$44 – $1.4k
2	Northbay Medical Center Vacaville, CA facility · other · outpatient	1	$259	$259	—	—	226	$259 – $259
3	The Mount Sinai Hospital New York, NY other · outpatient	1	$302	$302	—	—	208	$302 – $302
4	Northwest Community Hospital Arlington Heights, IL other · outpatient	2	$170	$170	$20	12%	192	$150 – $190
5	MUSC Medical Center Charleston, SC facility · other · outpatient	3	$120	$343	$355	103%	187–205	$66 – $844
6	Stanford Health Care Tri-Valley Livermore, CA other · outpatient	2	$301	$301	—	—	91–100	$301 – $301
7	Danbury Hospital New Milford, CT other · outpatient	2	$81	$81	$75	93%	77–86	$5 – $156
8	Regents of the University of California at Irvine Hospital Orange, CA other · outpatient	2	$206	$206	$17	8%	72–81	$189 – $223
9	UCI Health - Fountain Valley Orange, CA other · outpatient	2	$206	$206	$17	8%	72–81	$189 – $223
10	UCI Health - Lakewood Orange, CA other · outpatient	2	$206	$206	$17	8%	72–81	$189 – $223
11	UCI Health - Los Alamitos Orange, CA other · outpatient	2	$206	$206	$17	8%	72–81	$189 – $223
12	Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient	4	$80	$83	$14	17%	65–83	$69 – $101
13	UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient	1	$2.0k	$2.0k	—	—	65	$2.0k – $2.0k
14	Ucsf Medical Center San Francisco, CA other · outpatient	1	$2.0k	$2.0k	—	—	65	$2.0k – $2.0k
15	University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient	2	$57	$57	$18	32%	65	$39 – $75
16	Rochester General Hospital Rochester, NY facility · other · outpatient	7	$814	$4.3k	$6.2k	144%	55–109	$83 – $16.2k
17	Elmhurst Memorial Hospital Elmhurst, IL percent of total billed charges · outpatientfrom % of charges	1	$66	$66	—	—	44	$66 – $66
18	Methodist Willowbrook Hospital Houston, TX other · outpatient	4	$73	$88	$28	32%	44–62	$69 – $136
19	Orlando Health, Inc. Orlando, FL other · outpatient	2	$59	$59	$43	73%	43–52	$16 – $102
20	ChristianaCare Wilmington, DE facility · other · outpatient	1	$650	$650	—	—	41	$650 – $650
21	Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · other · outpatient	2	$283	$283	$274	97%	39	$8 – $557
22	University of California Davis Medical Center Sacramento, CA other · outpatient	2	$90	$90	—	—	35–44	$90 – $90
23	EMORY UNIVERSITY Atlanta, GA facility · other · outpatient	2	$300	$300	$172	57%	33–42	$127 – $472
24	Rady Children's Hospital - San Diego Murrieta, CA facility · other · outpatient	1	$271	$271	—	—	33	$271 – $271
25	Methodist Sugar Land Hospital Sugar Land, TX other · outpatient	3	$91	$94	$13	14%	31–49	$79 – $111

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