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
$1
Average
$1.5k
Median
$190
High
$2044.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1664 hospitals; the 90th percentile is 7.0× 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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2,311 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 | $468 | $468 | $57 | 12% | 2,512 | $411 – $525 |
| 2 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $404 | $532 | $263 | 49% | 180 | $293 – $899 |
| 3 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $182 | $77 | 42% | 180 | $122 – $310 |
| 4 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $404 | $532 | $263 | 49% | 180 | $293 – $899 |
| 5 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $182 | $77 | 42% | 180 | $122 – $310 |
| 6 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $300 | $319 | $115 | 36% | 130 | $180 – $495 |
| 7 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $395 | $632 | $503 | 80% | 75–750 | $165 – $3.0k |
| 8 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $366 | $593 | $530 | 89% | 73 | $37 – $1.3k |
| 9 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 1 | $250 | $250 | — | — | 73 | $250 – $250 |
| 10 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 1 | $366 | $593 | $530 | 89% | 40 | $37 – $1.3k |
| 11 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · outpatientfrom % of charges | 1 | $250 | $250 | — | — | 40 | $250 – $250 |
| 12 | SOUTH COUNTY HEALTH Greenwich, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $208 | — | — | 31–40 | $208 – $208 |
| 13 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $316 | $469 | $324 | 69% | 30–300 | $274 – $1.9k |
| 14 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $284 | $276 | $70 | 25% | 25–79 | $165 – $382 |
| 15 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $72 | $154 | $142 | 93% | 25 | $70 – $400 |
| 16 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $72 | $154 | $142 | 93% | 25 | $70 – $400 |
| 17 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $202 | $202 | $9 | 5% | 23–68 | $188 – $218 |
| 18 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $229 | $130 | 57% | 18 | $84 – $381 |
| 19 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $335 | $340 | $43 | 13% | 14–140 | $259 – $439 |
| 20 | Ressurection Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | 14 | $87 – $87 |
| 21 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $264 | $323 | $235 | 73% | 14 | $122 – $841 |
| 22 | Cooley Dickinson Hospital Northampton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $442 | $442 | — | — | 13 | $442 – $442 |
| 23 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $440 | $478 | $270 | 57% | 11–110 | $54 – $1.3k |
| 24 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient | 1 | $91 | $91 | — | — | 10–100 | $91 – $91 |
| 25 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $31 | $31 | — | — | 9–90 | $31 – $31 |
← Payers reporting CPT 87801 · Snapshot 20261111T120946Z-9134e7f7