Low
$22
Average
$251
Median
$251
High
$480
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3 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 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Stonewall Memorial Hospital Aspermont, TX percent of total billed charges · inpatientfrom % of charges | 1 | $480 | $480 | — | — | — | $480 – $480 |
| 3 | Stonewall Memorial Hospital Aspermont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $480 | $480 | — | — | — | $480 – $480 |
← Payers reporting CPT 93926-RT · Snapshot 20261112T124536Z-e251e855