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
Cta Upper Extrem W/Wo Contrast
Low
$1
Average
$1.5k
Median
$1.1k
High
$22.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1598 hospitals; the 90th percentile is 11.3× 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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2,447 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.0k | $487 | 24% | 3–30 | $1.4k – $2.6k |
| 2 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $760 | $760 | $253 | 33% | 2–20 | $507 – $1.0k |
| 3 | LONGMONT UNITED HOSPITAL Longmont, CO other · inpatient | 1 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 4 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 5 | WILLITS HOSPITAL INC Willits, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5.9k | $5.9k | $1.2k | 20% | 2–20 | $4.7k – $7.1k |
| 6 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 7 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 8 | Baystate Noble Hospital Westfield, MA fee schedule · both | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 9 | Baystate Wing Hospital Palmer, MA fee schedule · both | 1 | $384 | $384 | — | — | 1–10 | $384 – $384 |
| 10 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 11 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 12 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 13 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ fee schedule · outpatient | 3 | $560 | $541 | $48 | 9% | 1–10 | $474 – $588 |
| 14 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 15 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $690 | $690 | $138 | 20% | — | $552 – $828 |
| 18 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $5.6k | $3.7k | 66% | — | $1.7k – $10.8k |
| 19 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | $1.3k | 50% | — | $898 – $4.1k |
| 21 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | $614 | 20% | — | $2.5k – $3.7k |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | $662 | 20% | — | $2.6k – $4.0k |
| 25 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
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