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
TX S WND DEHISC; SMPL [A4]
Low
$0
Average
$2.1k
Median
$1.2k
High
$36.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1525 hospitals; the 90th percentile is 10.7× 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
2,359 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 | $1.5k | $1.4k | $123 | 9% | 10–100 | $1.3k – $1.5k |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $467 | $558 | $173 | 31% | 4–40 | $408 – $800 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $5.4k | $8.6k | $9.4k | 110% | 4–40 | $336 – $27.1k |
| 4 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $6.4k | $8.7k | $7.3k | 84% | 4–40 | $1.4k – $22.9k |
| 5 | Hendrick Medical Center Abilene, TX facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 6 | Hendrick Medical Center Abilene, TX facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $442 | $529 | $164 | 31% | 2–20 | $386 – $758 |
| 8 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 2 | $5.5k | $5.6k | $3.8k | 69% | 2–20 | $1.7k – $9.4k |
| 9 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 3 | $9.4k | $9.9k | $3.9k | 39% | 1–10 | $5.1k – $17.0k |
| 10 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1.2k | $904 | $383 | 42% | 1–10 | $88 – $1.2k |
| 11 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1.2k | $904 | $383 | 42% | 1–10 | $88 – $1.2k |
| 12 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 4 | $2.4k | $2.0k | $834 | 41% | 1–10 | $637 – $2.7k |
| 13 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 14 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $450 | $450 | — | — | 1–10 | $450 – $450 |
| 15 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 2 | $830 | $830 | $298 | 36% | 1–10 | $533 – $1.1k |
| 16 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN fee schedule · both | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 17 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 18 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1.2k | $904 | $383 | 42% | 1–10 | $88 – $1.2k |
| 19 | ST JOSEPHS HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS Carlyle, IL percent of total billed charges · outpatientfrom % of charges | 1 | $17.8k | $17.8k | — | — | 1–10 | $17.8k – $17.8k |
| 20 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $668 | $668 | — | — | 1–10 | $668 – $668 |
| 21 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19.2k | $19.2k | — | — | 1–10 | $19.2k – $19.2k |
| 22 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $780 | $848 | $105 | 12% | 1–10 | $768 – $996 |
| 23 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 24 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $954 | $954 | — | — | — | $954 – $954 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $217 | $217 | — | — | — | $217 – $217 |
← Payers reporting CPT 12020 · Snapshot 20261111T120946Z-9134e7f7