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
HC TBS TECHNICAL CALCULATION ONLY
Low
$1
Average
$217
Median
$174
High
$8.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
746 hospitals; the 90th percentile is 4.5× 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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891 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 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $102 | $61 | 60% | 395 | $52 – $187 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $227 | $229 | $5 | 2% | 158 | $227 – $239 |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $116 | $133 | $68 | 51% | 68–77 | $60 – $224 |
| 4 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $137 | $141 | $67 | 47% | 20 | $61 – $224 |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $83 | $83 | — | — | 20 | $83 – $83 |
| 6 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 2 | $153 | $153 | $34 | 22% | 19–28 | $119 – $186 |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $325 | $325 | — | — | 12 | $325 – $325 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | $13 | 7% | 12 | $170 – $195 |
| 9 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | 11 | $245 – $245 |
| 10 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $101 | $101 | — | — | 2–20 | $101 – $101 |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $373 | $373 | — | — | 1–10 | $373 – $373 |
| 12 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $373 | $373 | — | — | 1–10 | $373 – $373 |
| 13 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $267 | $267 | — | — | 1–10 | $267 – $267 |
| 14 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | 1–10 | $245 – $245 |
| 15 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | 1–10 | $245 – $245 |
| 16 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | 1–10 | $245 – $245 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 18 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 1–10 | $285 – $285 |
| 19 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 22 | $101 | $101 | — | — | 1–10 | $101 – $101 |
| 20 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $97 | $39 | 40% | 1–10 | $59 – $136 |
| 21 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 22 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $486 | $486 | — | — | — | $486 – $486 |
| 25 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $28 | $1 | 3% | — | $28 – $29 |
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