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
HIP OR PROCEDURE
Low
$40
Average
$242
Median
$172
High
$871
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 7.5× 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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21 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 2 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 3 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 2 | $872 | $872 | $23 | 3% | — | $848 – $895 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 2 | $872 | $872 | $23 | 3% | — | $848 – $895 |
| 6 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 7 | Doylestown Hospital Doylestown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 8 | El Paso Children's Hospital El Paso, TX percent of total billed charges · bothfrom % of charges | 1 | $348 | $348 | — | — | — | $348 – $348 |
| 9 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $35 | $40 | $15 | 38% | — | $22 – $65 |
| 10 | Henry Ford Health Twp, MI other · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 4 | $70 | $70 | $37 | 54% | — | $32 – $107 |
| 12 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 2 | $179 | $179 | $9 | 5% | — | $170 – $189 |
| 13 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 2 | $179 | $179 | $9 | 5% | — | $170 – $189 |
| 14 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 15 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $283 | $283 | $52 | 18% | — | $231 – $336 |
| 16 | Norwalk Hospital Norwalk, CT fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 17 | SSM Health Care of Oklahoma, Inc Midwest City, OK fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 18 | SSM Health Care of Oklahoma, Inc Oklahoma City, OK fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 19 | Specialists Hospital Shreveport Shreveport, LA percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | $66 | 39% | — | $106 – $239 |
| 20 | UPMC Kane Kane, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $72 | $25 | 35% | — | $54 – $107 |
| 21 | UPMC Kane Kane, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $920 | $1.2k | $1.3k | 106% | — | $54 – $3.4k |
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