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
PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE
The hospitals that file a Cigna Healthspring 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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74 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $77.00 | $77.00 – $77.00 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $693.73 | $693.73 – $693.73 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $77.00 | $77.00 – $77.00 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $693.07 | $693.07 – $693.07 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $77.00 | $77.00 – $77.00 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $702.64 | $702.64 – $702.64 |
| 7 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX case rate · outpatient | 2 | $708.26 | $704.73 – $711.78 |
| 8 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $77.00 | $77.00 – $77.00 |
| 9 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $702.64 | $702.64 – $702.64 |
| 10 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $77.00 | $77.00 – $77.00 |
| 11 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $738.77 | $738.77 – $738.77 |
| 12 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $80.85 | $80.85 – $80.85 |
| 13 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $491.13 | $491.13 – $491.13 |
| 14 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $77.00 | $77.00 – $77.00 |
| 15 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $702.64 | $702.64 – $702.64 |
| 16 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $693.07 | $693.07 – $693.07 |
| 17 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 3 | $714.94 | $707.86 – $729.10 |
| 18 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $674.24 | $674.24 – $674.24 |
| 19 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $997.57 | $752.61 – $1,243 |
| 20 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $504.00 | $504.00 – $504.00 |
| 21 | Laird Hospital, Inc. Union, MS fee schedule · outpatient | 1 | $76.05 | $76.05 – $76.05 |
| 22 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $529.20 | $529.20 – $529.20 |
| 23 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $740.97 | $740.97 – $740.97 |
| 24 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX case rate · outpatient | 2 | $668.38 | $665.05 – $671.70 |
| 25 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX case rate · outpatient | 2 | $708.26 | $704.73 – $711.78 |
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