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 Free
Low
$0
Average
$1.0k
Median
$65
High
$1704.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1819 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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2,581 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 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · outpatient | 3 | $36 | $32 | $6 | 19% | 392 | $23 – $36 |
| 2 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $136 | $146 | $78 | 54% | 190–208 | $62 – $248 |
| 3 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 113 | $35 – $35 |
| 4 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 113 | $35 – $35 |
| 5 | Christian Hospital St. Louis, MO fee schedule · both | 3 | $36 | $32 | $6 | 19% | 76 | $23 – $36 |
| 6 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | $13 | 17% | 74 | $64 – $90 |
| 7 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | 74 | $9 – $9 |
| 8 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 74 | $60 – $60 |
| 9 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $40 | $35 | $8 | 22% | 67–76 | $24 – $41 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 60 | $41 – $41 |
| 11 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 2 | $119 | $119 | $7 | 6% | 52 | $111 – $126 |
| 12 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 3 | $53 | $65 | $15 | 23% | 52–115 | $53 – $84 |
| 13 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $54 | $54 | — | — | 43 | $54 – $54 |
| 14 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $64 | — | — | 40 | $64 – $64 |
| 15 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 38 | $125 – $125 |
| 16 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | 38 | $253 – $253 |
| 17 | Hospital for Special Surgery White Plains, NY per diem · both | 12 | $130 | $132 | $5 | 4% | 35–44 | $130 – $144 |
| 18 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $77 | $78 | $7 | 9% | 31–40 | $69 – $87 |
| 19 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | 25 | $84 – $84 |
| 20 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $136 | $136 | $27 | 20% | 24–33 | $109 – $163 |
| 21 | Opelousas General Main Campus Opelousas, LA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $222 | $222 | — | — | 24 | $222 – $222 |
| 22 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | $8 | 11% | 24 | $64 – $81 |
| 23 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $122 | $122 | — | — | 24 | $122 – $122 |
| 24 | Cooley Dickinson Hospital Northampton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | 23 | $134 – $134 |
| 25 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | 23 | $69 – $69 |
← Payers reporting CPT 84481 · Snapshot 20261111T120946Z-9134e7f7