CPT 91303
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
Fee Schedule
Low
$0
Average
$177
Median
$0
High
$2.4k
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50 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Alexian Brothers Behavioral Health Hospital Estates, IL fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | Alexian Brothers Medical Center Village, IL fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 4 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Brandon HMA LLC Brandon, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $0 | $0 | $0 | 7% | — | $0 – $0 |
| 16 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · inpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Knox Hospital Company LLC Knox, IN facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Knox Hospital Company LLC Knox, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | MELROSEWAKEFIELD HEALTHCARE Medford, MA fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 91303 · Snapshot 20261113T090226Z-3ce6c0b8