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
HC Immun <= 18 Yrs W Couns 1st
Low
$0
Average
$501
Median
$32
High
$302.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
670 hospitals; the 90th percentile is 5.1× 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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980 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 2 | $52 | $52 | — | — | 11,586 | $52 – $52 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $21 | $22 | $8 | 37% | 854 | $12 – $34 |
| 3 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 3 | $18 | $19 | $2 | 13% | 625 | $17 – $23 |
| 4 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $67 | $20 | 30% | 402–411 | $53 – $96 |
| 5 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | 291 | $15 – $15 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $39 | $10 | 26% | 282–291 | $25 – $46 |
| 7 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $52 | $2 | 3% | 273–282 | $49 – $53 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $56 | $57 | $1 | 2% | 258 | $56 – $59 |
| 9 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 220 | $58 – $58 |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | 198 | $115 – $115 |
| 11 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 181 | $58 – $58 |
| 12 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $22 | $25 | $6 | 23% | 134 | $21 – $33 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $23 | $24 | $2 | 9% | 107 | $22 – $27 |
| 14 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $52 | $52 | — | — | 106 | $52 – $52 |
| 15 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | 93 | $14 – $14 |
| 16 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | 93 | $14 – $14 |
| 17 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 22 | $386 | $386 | — | — | 84–102 | $386 – $386 |
| 18 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 78 | $54 – $54 |
| 19 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 77 | $47 – $47 |
| 20 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 75 | $47 – $47 |
| 21 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $637 | $637 | — | — | 69 | $637 – $637 |
| 22 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | 63 | $14 – $14 |
| 23 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | 63 | $14 – $14 |
| 24 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | 62 | $17 – $17 |
| 25 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $23 | $21 | $2 | 10% | 36 | $18 – $23 |
← Payers reporting CPT 90460 · Snapshot 20261111T120946Z-9134e7f7