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
Mod Sed Same Phys/Qhp Each Addl 15 Mins
Low
$0
Average
$523
Median
$121
High
$428.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1354 hospitals; the 90th percentile is 16.9× 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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1,914 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $33 | $34 | $8 | 24% | 398 | $23 – $45 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $33 | $34 | $8 | 24% | 350 | $23 – $45 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $166 | $164 | $64 | 39% | 168 | $53 – $240 |
| 4 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 11 | $157 | $149 | $38 | 25% | 156 | $85 – $185 |
| 5 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $293 | $293 | $49 | 17% | 111 | $244 – $342 |
| 6 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $137 | $137 | $17 | 12% | 107 | $120 – $154 |
| 7 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $188 | $191 | $6 | 3% | 92 | $188 – $199 |
| 8 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $231 | $260 | $70 | 27% | 88 | $191 – $356 |
| 9 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $162 | $162 | — | — | 86 | $162 – $162 |
| 10 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 3 | $9.7k | $9.8k | $913 | 9% | 79–88 | $8.7k – $11.0k |
| 11 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 3 | $46 | $47 | $4 | 9% | 79–88 | $42 – $52 |
| 12 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $185 | $185 | — | — | 79 | $185 – $185 |
| 13 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $155 | $155 | — | — | 70 | $155 – $155 |
| 14 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 57 | $20 – $20 |
| 15 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 11 | $133 | $145 | $43 | 30% | 52 | $85 – $200 |
| 16 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | 46 | $95 – $95 |
| 17 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 12 | $133 | $150 | $45 | 30% | 45–54 | $85 – $211 |
| 18 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 12 | $133 | $150 | $45 | 30% | 45–54 | $85 – $211 |
| 19 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $307 | $307 | $17 | 5% | 40–49 | $290 – $323 |
| 20 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $307 | $307 | $17 | 5% | 40–49 | $290 – $323 |
| 21 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $120 | $122 | $4 | 4% | 40–58 | $118 – $128 |
| 22 | Saint Luke’s South Hospital, Inc Leawood, KS percent of total billed charges · bothfrom % of charges | 11 | $133 | $145 | $43 | 30% | 38 | $85 – $200 |
| 23 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 5 | $224 | $215 | $33 | 15% | 38 | $135 – $236 |
| 24 | Piedmont Fayette Fayetteville, GA percent of total billed charges · bothfrom % of charges | 2 | $293 | $293 | $49 | 17% | 37 | $244 – $342 |
| 25 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 37 | $20 – $20 |
← Payers reporting CPT 99153 · Snapshot 20261111T120946Z-9134e7f7