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
SPECIAL REPORTS OR FORMS
Low
$0
Average
$101
Median
$44
High
$4.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
178 hospitals; the 90th percentile is 25.8× 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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235 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 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 13 | $4 – $4 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $17 | 38% | — | $27 – $60 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $186 | $186 | $175 | 94% | — | $11 – $360 |
| 4 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 5 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 6 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 8 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 10 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 11 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 12 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 16 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 17 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 18 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Blue Hill Memorial Hospital Hill, ME professional · percent of total billed charges · inpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 20 | Blue Hill Memorial Hospital Hill, ME professional · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 21 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $8 | $2 | 23% | — | $4 – $10 |
| 22 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 24 | CHI MEMORIAL HOSPITAL - GEORGIA Ringgold, GA fee schedule · outpatient | 2 | $103 | $103 | $8 | 7% | — | $95 – $110 |
| 25 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $3 | 21% | — | $12 – $18 |
← Payers reporting CPT 99080 · Snapshot 20261113T090226Z-3ce6c0b8