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 Cs Diff Phys<5Yrs 1St 15
Low
$9
Average
$404
Median
$242
High
$48.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
851 hospitals; the 90th percentile is 6.6× 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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1,223 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 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | 26 | $188 – $188 |
| 2 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $190 | $190 | — | — | 5–50 | $190 – $190 |
| 3 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 8 | $2.5k | $2.5k | $312 | 13% | 4–40 | $2.1k – $2.9k |
| 4 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 8 | $2.5k | $2.5k | $312 | 13% | 4–40 | $2.1k – $2.9k |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | $24 | 8% | 2–20 | $275 – $323 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $406 | $125 | 31% | 2–20 | $297 – $581 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $321 | $384 | $119 | 31% | 2–20 | $281 – $551 |
| 8 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $681 | $681 | — | — | 2–20 | $681 – $681 |
| 9 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL percent of total billed charges · bothfrom % of charges | 1 | $461 | $461 | — | — | 1–10 | $461 – $461 |
| 10 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 11 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 12 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $48.0k | $48.0k | — | — | 1–10 | $48.0k – $48.0k |
| 13 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 14 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | $57 | 25% | — | $171 – $285 |
| 15 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $116 | $116 | $39 | 33% | — | $77 – $155 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $131 | $131 | $12 | 10% | — | $119 – $144 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 18 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 19 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $358 | $358 | — | — | — | $358 – $358 |
| 20 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $265 | $278 | $61 | 22% | — | $210 – $358 |
| 21 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 22 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $510 | $510 | $61 | 12% | — | $450 – $571 |
| 23 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $410 | $410 | $49 | 12% | — | $361 – $459 |
| 24 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $510 | $510 | $61 | 12% | — | $450 – $571 |
| 25 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $430 | $430 | $4 | 1% | — | $426 – $434 |
← Payers reporting CPT 99155 · Snapshot 20261111T120946Z-9134e7f7