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 INTER ICD SBSTRNL PROF EA 90DAYS
Low
$0
Average
$510
Median
$88
High
$25.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
88 hospitals; the 90th percentile is 17.8× 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.
Filter by billing methodology
Filter by billing class
99 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $333 | $337 | $7 | 2% | 1–10 | $333 – $351 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 4 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 5 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 7 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 8 | Banner University Medical Center Phoenix Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $208 | $208 | $5 | 2% | — | $203 – $212 |
| 9 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · outpatientfrom % of charges | 5 | $69 | $66 | $5 | 8% | — | $56 – $69 |
| 10 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 5 | $51 | $47 | $8 | 16% | — | $38 – $55 |
| 11 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 12 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 13 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 14 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $1.0k | $1.0k | $26 | 3% | — | $1.0k – $1.1k |
| 15 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 4 | $47 | $48 | $2 | 5% | — | $47 – $52 |
| 16 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $40 | $46 | $8 | 18% | — | $40 – $57 |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $64 | $74 | $13 | 18% | — | $64 – $92 |
| 18 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 19 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 20 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 21 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 6 | $662 | $662 | — | — | — | $662 – $662 |
| 22 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 25 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 0578T · Snapshot 20261113T090226Z-3ce6c0b8