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
HB Ref Selenium, RBC (Arup)
Low
$0
Average
$98
Median
$70
High
$3.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1664 hospitals; the 90th percentile is 7.3× 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.
Filter by billing methodology
Filter by billing class
2,315 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 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $138 | $140 | $20 | 14% | 44–62 | $114 – $169 |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $133 | $175 | $141 | 81% | 26–260 | $39 – $621 |
| 3 | Hospital for Special Surgery White Plains, NY per diem · both | 12 | $130 | $132 | $5 | 4% | 20–29 | $130 – $144 |
| 4 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 11–110 | $47 – $47 |
| 5 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $307 | $257 | $100 | 39% | 5–50 | $58 – $307 |
| 6 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | 4–40 | $55 – $55 |
| 7 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $58 | $3 | 4% | 4–40 | $54 – $59 |
| 8 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $94 | $18 | 19% | 3–30 | $71 – $115 |
| 9 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $142 | $142 | $6 | 4% | 3–30 | $136 – $149 |
| 10 | Uniontown Hospital Uniontown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | 3–30 | $61 – $61 |
| 11 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $61 | $53 | $12 | 22% | 2–20 | $36 – $61 |
| 12 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $248 | $248 | $49 | 20% | 2–20 | $199 – $297 |
| 13 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 14 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $248 | $248 | $49 | 20% | 2–20 | $199 – $297 |
| 15 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $37 | $39 | $20 | 51% | 2–20 | $17 – $65 |
| 16 | Progress West Hospital O'Fallon, MO fee schedule · both | 3 | $54 | $48 | $9 | 19% | 2–20 | $35 – $55 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | 2–20 | $55 – $55 |
| 18 | Alton Memorial Hospital Alton, IL fee schedule · both | 3 | $54 | $48 | $9 | 19% | 1–10 | $35 – $55 |
| 19 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 20 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | 1–10 | $69 – $69 |
| 21 | Christian Hospital St. Louis, MO fee schedule · both | 3 | $54 | $48 | $9 | 19% | 1–10 | $35 – $55 |
| 22 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 1–10 | $58 – $58 |
| 23 | Cooley Dickinson Hospital Northampton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | 1–10 | $202 – $202 |
| 24 | Duke University Hospital Durham, NC facility · other · outpatient | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 25 | Duke University Hospital Raleigh, NC facility · other · outpatient | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
← Payers reporting CPT 84255 · Snapshot 20261111T120946Z-9134e7f7