CPT 91315
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
$428
Median
$0
High
$2.4k
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18 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $0 | $0 | $0 | 7% | — | $0 – $0 |
| 7 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | NewYork-Presbyterian Columbia University Irving Medical Center|NewYork-Presbyterian Weill Cornell Medical Center|NewYork-Presbyterian Brooklyn Methodist Hospital Brooklyn, NY percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | NewYork-Presbyterian Hudson Valley Hospital Manor, NY percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | NewYork-Presbyterian Queens Flushing, NY percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | St. Alexius Medical Center Estates, IL fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 15 | Stormont Vail Healthcare, Inc Topeka, KS fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | Stormont Vail Healthcare, Inc Topeka, KS fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 91315 · Snapshot 20261113T090226Z-3ce6c0b8