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
Exc Les Mucosa & Sbmcsl Vestibule Smpl Rpr
Low
$0
Average
$4.3k
Median
$2.5k
High
$32.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
909 hospitals; the 90th percentile is 25.2× 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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1,201 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 Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $24.1k | $22.0k | $9.9k | 45% | 4–40 | $7.5k – $32.4k |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $5.5k | $6.4k | $3.4k | 53% | 3–30 | $2.8k – $11.0k |
| 3 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $14.6k | $14.6k | $3.9k | 26% | 2–20 | $10.8k – $18.5k |
| 4 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 6 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN case rate · outpatient | 5 | $5.1k | $5.2k | $627 | 12% | 1–10 | $4.4k – $6.2k |
| 7 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 8 | MedStar Washington Hospital Center NW, WA facility · case rate · outpatient | 2 | $6.6k | $7.9k | $1.9k | 24% | 1–10 | $6.6k – $10.6k |
| 9 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 10 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $932 | $932 | — | — | 1–10 | $932 – $932 |
| 11 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.7k | $8.7k | — | — | 1–10 | $8.7k – $8.7k |
| 12 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $5.1k | $4.6k | $917 | 20% | 1–10 | $3.3k – $5.5k |
| 13 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $772 | $772 | — | — | — | $772 – $772 |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 18 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $771 | $771 | — | — | — | $771 – $771 |
| 19 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $375 | $375 | $31 | 8% | — | $344 – $406 |
| 22 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $324 | $351 | $144 | 41% | — | $180 – $574 |
| 23 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $359 | $366 | $81 | 22% | — | $265 – $481 |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 25 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $1.5k | $2.0k | $1.6k | 80% | — | $288 – $4.1k |
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