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
facility
Low
$0
Average
$714
Median
$36
High
$1135.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1792 hospitals; the 90th percentile is 15.9× 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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2,540 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 | $180 | $180 | $22 | 12% | 1,465 | $158 – $202 |
| 2 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $17 | $17 | $5 | 32% | 591–609 | $8 – $22 |
| 3 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $16 | $15 | $5 | 34% | 327 | $8 – $22 |
| 4 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · both | 6 | $8 | $8 | $0 | 0% | 249 | $7 – $8 |
| 5 | DIGNITY HEALTH Henderson, NV fee schedule · outpatient | 2 | $27 | $27 | — | — | 218 | $27 – $27 |
| 6 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $17 | $56 | $82 | 145% | 199 | $8 – $219 |
| 7 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $172 | $174 | $25 | 14% | 130–148 | $143 – $211 |
| 8 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | 129 | $101 – $101 |
| 9 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $11.1k | $11.1k | — | — | 127 | $11.1k – $11.1k |
| 10 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | 123 | $29 – $29 |
| 11 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $1 | 2% | 102–111 | $62 – $65 |
| 12 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $87 | $87 | — | — | 90 | $87 – $87 |
| 13 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 3 | $50 | $109 | $125 | 115% | 87 | $5 – $394 |
| 14 | John Muir Health Concord, CA percent of total billed charges · outpatientfrom % of charges | 3 | $128 | $145 | $25 | 17% | 87 | $128 – $180 |
| 15 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | 86 | $56 – $56 |
| 16 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $49 | $49 | $1 | 2% | 71 | $48 – $50 |
| 17 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $66 | $18 | 27% | 68–122 | $54 – $91 |
| 18 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 68 | $71 – $71 |
| 19 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 63 | $65 – $65 |
| 20 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | 60–69 | $30 – $30 |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $28 | $1 | 5% | 56 | $26 – $29 |
| 22 | DIGNITY HEALTH Las Vegas, NV fee schedule · outpatient | 2 | $27 | $27 | — | — | 54 | $27 – $27 |
| 23 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 54 | $98 – $98 |
| 24 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | 45 | $56 – $56 |
| 25 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 3 | $52 | $61 | $14 | 24% | 44–71 | $52 – $84 |
← Payers reporting CPT 84703 · Snapshot 20261111T120946Z-9134e7f7