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 T3, Total
Low
$0
Average
$1.0k
Median
$56
High
$1704.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1816 hospitals; the 90th percentile is 9.6× 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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2,562 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $120 | $120 | $24 | 20% | 137 | $96 – $144 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $120 | $120 | $24 | 20% | 109 | $96 – $144 |
| 3 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 101 | $70 – $70 |
| 4 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 80 | $70 – $70 |
| 5 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | 64 | $83 – $83 |
| 6 | 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 | $95 | $95 | — | — | 57 | $95 – $95 |
| 7 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $159 | $160 | $77 | 48% | 33 | $35 – $330 |
| 8 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | 21 | $63 – $63 |
| 9 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $206 | $180 | $41 | 22% | 19 | $123 – $212 |
| 10 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $3 | 20% | 18–180 | $13 – $19 |
| 11 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | $1 | 2% | 17 | $88 – $90 |
| 12 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $146 | $149 | $21 | 14% | 16–25 | $122 – $180 |
| 13 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $64 | $64 | $6 | 9% | 15–24 | $57 – $72 |
| 14 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $46 | $46 | — | — | 14 | $46 – $46 |
| 15 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | 13 | $150 – $150 |
| 16 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 11 | $62 – $62 |
| 17 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $43 | $42 | $2 | 5% | 5–50 | $39 – $43 |
| 18 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $86 | $42 | 49% | 4–40 | $17 – $128 |
| 19 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $32 | $32 | $10 | 32% | 4–40 | $14 – $41 |
| 20 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $71 | $71 | — | — | 4–40 | $71 – $71 |
| 21 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $83 | $56 | 68% | 3–30 | $6 – $138 |
| 22 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | 3–30 | $153 – $153 |
| 23 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | 3–30 | $153 – $153 |
| 24 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 6 | $15 | $14 | $2 | 15% | 3–30 | $10 – $16 |
| 25 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $140 | $140 | — | — | 3–30 | $140 – $140 |
← Payers reporting CPT 84480 · Snapshot 20261111T120946Z-9134e7f7