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 Calculi Risk Assessment Urine, Sodium (Arup)
Low
$0
Average
$1.2k
Median
$24
High
$2049.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1795 hospitals; the 90th percentile is 12.8× 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
2,551 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $88 | $88 | $11 | 12% | 53 | $78 – $99 |
| 2 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $23 | $23 | $1 | 4% | 14–23 | $22 – $24 |
| 3 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 11–110 | $62 – $62 |
| 4 | Northwestern Memorial Hospital Chicago, IL other · outpatient | 1 | $33 | $33 | — | — | 8–80 | $33 – $33 |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $28 | $1 | 5% | 6–60 | $26 – $29 |
| 6 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 8 | $43 | $47 | $23 | 50% | 6–60 | $20 – $81 |
| 7 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 8 | $43 | $47 | $23 | 50% | 6–60 | $20 – $81 |
| 8 | Alton Memorial Hospital Alton, IL fee schedule · both | 3 | $11 | $10 | $2 | 19% | 4–40 | $7 – $11 |
| 9 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $12 | $10 | $2 | 22% | 4–40 | $7 – $12 |
| 10 | Christian Hospital St. Louis, MO fee schedule · both | 3 | $11 | $10 | $2 | 19% | 4–40 | $7 – $11 |
| 11 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $11 | $10 | $3 | 34% | 4–40 | $5 – $15 |
| 12 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $11 | $11 | $4 | 32% | 4–40 | $5 – $15 |
| 13 | DIGNITY HEALTH Las Vegas, NV fee schedule · outpatient | 2 | $18 | $18 | — | — | 4–40 | $18 – $18 |
| 14 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $26 | $26 | — | — | 4–40 | $26 – $26 |
| 15 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $45 | $3 | 8% | 4–40 | $43 – $51 |
| 16 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 4–40 | $26 – $26 |
| 17 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 4–40 | $57 – $57 |
| 18 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 4–40 | $71 – $71 |
| 19 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 3–30 | $68 – $68 |
| 20 | Betsy Johnson Hospital Dunn, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 3–30 | $48 – $48 |
| 21 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 3–30 | $52 – $52 |
| 22 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | 3–30 | $19 – $19 |
| 23 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $106 | $17 | 16% | 3–30 | $86 – $128 |
| 24 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 3–30 | $23 – $23 |
| 25 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $27 | $37 | $23 | 63% | 3–30 | $8 – $68 |
← Payers reporting CPT 84300 · Snapshot 20261111T120946Z-9134e7f7