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 Intmd Rpr S/a/T/Ext 2.5 Cm/<
Low
$0
Average
$1.8k
Median
$584
High
$426.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1518 hospitals; the 90th percentile is 11.6× 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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2,409 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $2.2k | $2.0k | 92% | 69 | $314 – $6.2k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.7k | $11.6k | $11.7k | 101% | 39–48 | $160 – $29.5k |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $633 | $654 | $170 | 26% | 17–35 | $438 – $913 |
| 4 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $631 | $646 | $53 | 8% | 6–60 | $601 – $760 |
| 5 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $1.3k | $1.3k | — | — | 5–50 | $1.3k – $1.3k |
| 6 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $348 | $348 | — | — | 5–50 | $348 – $348 |
| 7 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $478 | $170 | 35% | 5–50 | $328 – $799 |
| 8 | LEWISGALE HOSPITAL PULASKI PULASKI, VA percent of total billed charges · outpatientfrom % of charges | 2 | $928 | $928 | — | — | 4–40 | $928 – $928 |
| 9 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $258 | $309 | $95 | 31% | 4–40 | $226 – $442 |
| 10 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $244 | $292 | $90 | 31% | 4–40 | $214 – $419 |
| 11 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $3.1k | $3.2k | 106% | 4–40 | $250 – $9.4k |
| 12 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $586 | $430 | $242 | 56% | 3–30 | $88 – $616 |
| 13 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL case rate · outpatient | 1 | $37 | $37 | — | — | 3–30 | $37 – $37 |
| 14 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 3 | $2.9k | $5.2k | $5.9k | 115% | 3–30 | $335 – $17.3k |
| 15 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $10.6k | $18.8k | $19.9k | 106% | 3–30 | $550 – $50.2k |
| 16 | BETHESDA HOSPITAL BOYNTON BEACH, FL case rate · outpatient | 1 | $3.7k | $3.7k | — | — | 2–20 | $3.7k – $3.7k |
| 17 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $751 | $751 | — | — | 2–20 | $751 – $751 |
| 18 | CATHOLIC MEDICAL CENTER MANCHESTER, NH percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | 2–20 | $332 – $332 |
| 19 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $803 | $578 | 72% | 2–20 | $226 – $1.4k |
| 20 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 2–20 | $1.9k – $1.9k |
| 21 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $1.6k | $1.6k | $760 | 48% | 2–20 | $795 – $2.4k |
| 22 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $615 | $616 | $70 | 11% | 2–20 | $536 – $700 |
| 23 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 1 | $616 | $616 | $23 | 4% | 2–20 | $593 – $638 |
| 24 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.8k | $3.2k | 84% | 2–20 | $641 – $8.5k |
| 25 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $334 | $334 | $41 | 12% | 2–20 | $293 – $374 |
← Payers reporting CPT 12031 · Snapshot 20261111T120946Z-9134e7f7