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
PR ANESTH KIDNEY STONE DESTR WO H2O BATH
Low
$0
Average
$968
Median
$64
High
$10.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 5357.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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86 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 2 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 3 | Blessing Care Corporation Pittsfield, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · other · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 8 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $1 | 6% | — | $20 – $22 |
| 9 | CentraState Medical Center Freehold Township, NJ case rate · outpatient | 1 | $256 | $256 | — | — | — | $256 – $256 |
| 10 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 11 | Charles A. Dean Memorial Hospital Greenville, ME professional · other · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 12 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · inpatient | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 13 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · outpatient | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 14 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · inpatient | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 15 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · outpatient | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Chilton Medical Center Pompton Plains, NJ case rate · outpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 18 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 19 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 21 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 22 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 23 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting CPT 00873 · Snapshot 20261113T090226Z-3ce6c0b8