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
SIMPLE RPR SUPRFCL WND SCLP/NK/AX/GN/TRK/EXT 2.5CM/LS-CAC
Low
$0
Average
$2.5k
Median
$370
High
$1979.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1582 hospitals; the 90th percentile is 16.3× 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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2,582 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 | Childrens Hospital Colorado Aurora, CO other · outpatient | 1 | $455 | $455 | — | — | 114 | $455 – $455 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | $166 | 74% | 114 | $59 – $390 |
| 3 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $254 | $261 | $34 | 13% | 64 | $221 – $316 |
| 4 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $254 | $261 | $34 | 13% | 64 | $221 – $316 |
| 5 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.1k | $1.0k | $162 | 16% | 61–79 | $806 – $1.2k |
| 6 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $493 | $433 | $167 | 39% | 58 | $215 – $820 |
| 7 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $493 | $433 | $167 | 39% | 58 | $215 – $820 |
| 8 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $493 | $433 | $167 | 39% | 58 | $215 – $820 |
| 9 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $411 | $37 | 9% | 49 | $370 – $445 |
| 10 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 2 | $1.3k | $1.3k | $103 | 8% | 49–58 | $1.2k – $1.4k |
| 11 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $442 | $404 | $80 | 20% | 37 | $292 – $477 |
| 12 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $261 | $261 | — | — | 35 | $261 – $261 |
| 13 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $358 | $428 | $132 | 31% | 30 | $313 – $613 |
| 14 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $405 | $125 | 31% | 30 | $296 – $581 |
| 15 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $396 | $431 | $53 | 12% | 28–46 | $390 – $506 |
| 16 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 2 | $948 | $948 | $3 | 0% | 27 | $945 – $951 |
| 17 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $378 | $378 | $149 | 39% | 26–35 | $229 – $527 |
| 18 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $722 | $737 | $60 | 8% | 24–42 | $638 – $811 |
| 19 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $612 | $1.3k | $1.2k | 93% | 21–30 | $612 – $3.5k |
| 20 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 11 | $330 | $348 | $180 | 52% | 18–36 | $153 – $632 |
| 21 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $520 | $7 | 1% | 18 | $510 – $525 |
| 22 | University of Florida Health Gainesville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $494 | $494 | — | — | 17 | $494 – $494 |
| 23 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9.3k | $9.3k | — | — | 16 | $9.3k – $9.3k |
| 24 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | 16 | $281 – $281 |
| 25 | United Regional Health Care System Falls, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $276 | $276 | — | — | 16–160 | $276 – $276 |
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