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
Litholapaxy Smpl/Sm <2.5 Cm
Low
$1
Average
$4.8k
Median
$3.3k
High
$41.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1107 hospitals; the 90th percentile is 11.1× 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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1,409 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 Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $35.1k | $27.5k | $11.4k | 42% | 216 | $7.9k – $35.8k |
| 2 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 3 | $14.2k | $19.3k | $11.0k | 57% | 78 | $9.1k – $34.6k |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $29.0k | $25.0k | $7.5k | 30% | 75 | $14.5k – $31.5k |
| 4 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $11.4k | $14.3k | $8.3k | 58% | 60 | $5.9k – $25.7k |
| 5 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $26.9k | $28.1k | $17.0k | 60% | 44 | $9.0k – $49.6k |
| 6 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $12.9k | $12.9k | $3.4k | 26% | 28 | $9.5k – $16.4k |
| 7 | BETHESDA HOSPITAL BOYNTON BEACH, FL case rate · outpatient | 1 | $999 | $999 | — | — | 4–40 | $999 – $999 |
| 8 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $3.9k | $4.0k | $369 | 9% | 3–30 | $3.5k – $4.4k |
| 9 | Inova Alexandria Hospital Alexandria, VA other · both | 2 | $2.4k | $2.4k | $306 | 13% | 2–20 | $2.1k – $2.7k |
| 10 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 2 | $12.1k | $12.1k | $46 | 0% | 2–20 | $12.1k – $12.2k |
| 11 | SOUTH MIAMI HOSPITAL Weston, FL percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 2–20 | $2.5k – $2.5k |
| 12 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 1 | $6.4k | $6.4k | — | — | 2–20 | $6.4k – $6.4k |
| 13 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $803 | $803 | — | — | 1–10 | $803 – $803 |
| 14 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 15 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $8.3k | $8.3k | — | — | 1–10 | $8.3k – $8.3k |
| 16 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 17 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 1 | $19.8k | $19.8k | — | — | 1–10 | $19.8k – $19.8k |
| 18 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 19 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 20 | Inova Loudoun Hospital Leesburg, VA other · both | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 21 | John Muir Health Concord, CA fee schedule · outpatient | 3 | $7.4k | $8.1k | $992 | 12% | 1–10 | $7.4k – $9.5k |
| 22 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8.1k | $8.1k | $2.0k | 25% | 1–10 | $5.6k – $10.5k |
| 23 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 25 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $815 | $815 | — | — | 1–10 | $815 – $815 |
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