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.
Generation details were not recorded for this description.
Original text from hospital filings
PR UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES
Low
$0
Average
$3.7k
Median
$1.8k
High
$46.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1105 hospitals; the 90th percentile is 41.8× 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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1,513 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 Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $6.6k | $7.9k | $5.4k | 69% | 106 | $2.2k – $16.1k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $14.6k | $18.1k | $14.2k | 78% | 54 | $1.1k – $37.4k |
| 3 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $7.4k | $7.4k | — | — | 49 | $7.4k – $7.4k |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $293 | $293 | — | — | 49 | $293 – $293 |
| 5 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $479 | $494 | 103% | 47 | $29 – $2.0k |
| 6 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 2 | $8.0k | $8.0k | $464 | 6% | 22 | $7.5k – $8.4k |
| 7 | Inova Fair Oaks Hospital Fairfax, VA percent of total billed charges · bothfrom % of charges | 3 | $794 | $716 | $109 | 15% | 20 | $562 – $794 |
| 8 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.7k | $5.7k | $3.8k | 67% | 17 | $1.9k – $9.5k |
| 9 | Monmouth Medical Center Long Branch, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $6.6k | $6.6k | — | — | 15 | $6.6k – $6.6k |
| 10 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · outpatientfrom % of charges | 2 | $8.9k | $8.9k | — | — | 13–22 | $8.9k – $8.9k |
| 11 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 11 | $2.9k – $2.9k |
| 12 | Advocate Christ Medical Center Oak Lawn, IL facility · other · outpatient | 1 | $6.3k | $6.3k | — | — | 4–40 | $6.3k – $6.3k |
| 13 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | 4–40 | $286 – $286 |
| 14 | Advocate Illinois Masonic Medical Center Chicago, IL other · outpatient | 1 | $5.7k | $5.7k | — | — | 4–40 | $5.7k – $5.7k |
| 15 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | 4–40 | $286 – $286 |
| 16 | Advocate Lutheran General Hospital Park Ridge, IL other · outpatient | 1 | $4.1k | $4.1k | — | — | 4–40 | $4.1k – $4.1k |
| 17 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | 4–40 | $286 – $286 |
| 18 | Advocate Sherman Hospital Elgin, IL other · outpatient | 1 | $5.8k | $5.8k | — | — | 4–40 | $5.8k – $5.8k |
| 19 | Advocate Sherman Hospital Elgin, IL percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | 4–40 | $286 – $286 |
| 20 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN per diem · both | 4 | $5.7k | $5.6k | $283 | 5% | 4–40 | $5.1k – $5.9k |
| 21 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN per diem · outpatient | 4 | $5.7k | $5.6k | $283 | 5% | 4–40 | $5.1k – $5.9k |
| 22 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $416 | $664 | $528 | 80% | 4–40 | $264 – $1.6k |
| 23 | Monmouth Medical Center Southern Campus Lakewood, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $8.4k | $8.4k | — | — | 4–40 | $8.4k – $8.4k |
| 24 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $232 | $259 | $167 | 64% | 4–40 | $88 – $572 |
| 25 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $5.7k | $10.3k | $10.1k | 99% | 4–40 | $1.1k – $30.2k |
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