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
HB Rpr S/N/a/Gen/Trk12.6-20.0cm
Low
$1
Average
$2.4k
Median
$866
High
$426.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1513 hospitals; the 90th percentile is 19.1× 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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2,269 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 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $917 | $917 | — | — | 6–60 | $917 – $917 |
| 2 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $3.1k | $8.5k | $10.7k | 125% | 4–40 | $171 – $29.1k |
| 3 | United Regional Health Care System Falls, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $437 | $437 | — | — | 3–30 | $437 – $437 |
| 4 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $605 | $605 | $94 | 15% | 2–20 | $511 – $698 |
| 5 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $462 | $655 | $506 | 77% | 1–10 | $155 – $1.3k |
| 6 | Carlsbad Medical Center LLC Carlsbad, NM facility · percent of total billed charges · outpatientfrom % of charges | 2 | $18.9k | $18.9k | $4.8k | 25% | 1–10 | $14.2k – $23.7k |
| 7 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $685 | $648 | $356 | 55% | 1–10 | $299 – $1.7k |
| 8 | Granbury Hospital Corporation Granbury, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 9 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $685 | $648 | $356 | 55% | 1–10 | $299 – $1.7k |
| 10 | Mat-Su Valley Medical Center LLC Palmer, AK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
| 11 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 1 | $7.6k | $7.6k | — | — | 1–10 | $7.6k – $7.6k |
| 12 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $834 | $834 | — | — | 1–10 | $834 – $834 |
| 13 | Roswell Hospital Corporation Roswell, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15.1k | $15.1k | — | — | 1–10 | $15.1k – $15.1k |
| 14 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $685 | $648 | $356 | 55% | 1–10 | $299 – $1.7k |
| 15 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 3 | $522 | $547 | $120 | 22% | 1–10 | $414 – $705 |
| 16 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $890 | $812 | $161 | 20% | 1–10 | $588 – $959 |
| 17 | UConn Health, Waterbury Hospital Waterbury, CT facility · other · outpatient | 1 | $597 | $597 | — | — | 1–10 | $597 – $597 |
| 18 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $481 | $481 | — | — | — | $481 – $481 |
| 21 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $480 | $480 | — | — | — | $480 – $480 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 24 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 25 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
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