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
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The hospitals that file a Cigna 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.
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499 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $782.80 | $782.80 – $782.80 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $703.00 | $585.20 – $820.80 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $2,594 | $2,594 – $2,594 |
| 4 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 5 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 6 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 7 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 8 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 9 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $813.20 | $813.20 – $813.20 |
| 10 | Adventhealth Dade City Dade City, FL fee schedule · outpatient | 1 | $813.20 | $813.20 – $813.20 |
| 11 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 12 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $813.20 | $813.20 – $813.20 |
| 13 | Adventhealth Murray Chatsworth, GA fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 14 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $813.20 | $813.20 – $813.20 |
| 15 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $813.20 | $813.20 – $813.20 |
| 16 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $813.20 | $813.20 – $813.20 |
| 17 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $813.20 | $813.20 – $813.20 |
| 18 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
| 19 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
| 20 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
| 21 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
| 22 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
| 23 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
| 24 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
| 25 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 1 | $3,454 | $3,454 – $3,454 |
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