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 PLACENTA ALPHA MICRO IG C/V
Low
$0
Average
$263
Median
$203
High
$15.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1486 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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2,064 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 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $218 | $214 | $65 | 30% | 30–48 | $98 – $287 |
| 2 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 2 | $172 | $172 | $11 | 6% | 24 | $161 – $182 |
| 3 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 7 | $185 | $209 | $100 | 48% | 17–26 | $70 – $428 |
| 4 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $225 | $225 | — | — | 14 | $225 – $225 |
| 5 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 4 | $160 | $162 | $38 | 23% | 4–40 | $116 – $214 |
| 6 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $211 | $199 | $64 | 32% | 4–40 | $98 – $287 |
| 7 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $810 | $810 | — | — | 4–40 | $810 – $810 |
| 8 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $810 | $810 | — | — | 4–40 | $810 – $810 |
| 9 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $87 | $87 | — | — | 4–40 | $87 – $87 |
| 10 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 4 | $160 | $162 | $38 | 23% | 4–40 | $116 – $214 |
| 11 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $475 | $474 | $29 | 6% | 3–30 | $438 – $508 |
| 12 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $210 | $214 | $30 | 14% | 3–30 | $175 – $259 |
| 13 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $250 | $250 | — | — | 3–30 | $250 – $250 |
| 14 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $250 | $250 | — | — | 3–30 | $250 – $250 |
| 15 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $316 | $316 | $19 | 6% | 2–20 | $297 – $334 |
| 16 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $331 | — | — | 2–20 | $331 – $331 |
| 17 | DIGNITY HEALTH Henderson, NV fee schedule · outpatient | 2 | $356 | $356 | — | — | 2–20 | $356 – $356 |
| 18 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $218 | $214 | $65 | 30% | 2–20 | $98 – $287 |
| 19 | Denver Health and Hospital Authority Denver, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | $0 | 0% | 2–20 | $113 – $114 |
| 20 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN percent of total billed charges · bothfrom % of charges | 4 | $189 | $181 | $27 | 15% | 2–20 | $118 – $198 |
| 21 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN percent of total billed charges · bothfrom % of charges | 5 | $180 | $170 | $25 | 15% | 2–20 | $113 – $185 |
| 22 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 3 | $214 | $211 | $37 | 17% | 2–20 | $167 – $271 |
| 23 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $260 | $260 | $4 | 1% | 2–20 | $256 – $264 |
| 24 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $255 | $255 | — | — | 2–20 | $255 – $255 |
| 25 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · both | 6 | $98 | $98 | $0 | 0% | 2–20 | $97 – $98 |
← Payers reporting CPT 84112 · Snapshot 20261111T120946Z-9134e7f7