CPT 95904
Low
$33
Average
$123
Median
$76
High
$410
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25 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 | Alexian Brothers Behavioral Health Hospital Estates, IL other · both | 3 | $410 | $410 | — | — | — | $410 – $410 |
| 2 | Alexian Brothers Medical Center Village, IL other · both | 4 | $410 | $346 | $110 | 32% | — | $156 – $410 |
| 3 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 4 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 5 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 6 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 6 | $266 | $237 | $109 | 46% | — | $91 – $353 |
| 10 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 11 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 12 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 13 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 15 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | $13 | 40% | — | $17 – $49 |
| 16 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $45 | $44 | $18 | 40% | — | $23 – $66 |
| 17 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | $24 | 40% | — | $31 – $91 |
| 18 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | $19 | 40% | — | $24 – $70 |
| 19 | Doylestown Hospital Doylestown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 20 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | — | — | — | $59 – $59 |
| 21 | Monroe County Hospital Forsyth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 22 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 4 | $75 | $75 | $54 | 72% | — | $21 – $129 |
| 23 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 5 | $55 | $57 | $5 | 9% | — | $52 – $66 |
| 24 | St. Alexius Medical Center Estates, IL other · both | 4 | $410 | $346 | $110 | 32% | — | $156 – $410 |
| 25 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting CPT 95904 · Snapshot 20261113T090226Z-3ce6c0b8