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
1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes
Low
$15
Average
$362
Median
$145
High
$16.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
516 hospitals; the 90th percentile is 5.2× 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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740 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 | $270 | $270 | $53 | 20% | 444 | $217 – $324 |
| 2 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $15.5k | $16.9k | $11.2k | 66% | 246–255 | $5.9k – $30.6k |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $270 | $270 | $53 | 20% | 217 | $217 – $324 |
| 4 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | 203 | $241 – $241 |
| 5 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | 72 | $241 – $241 |
| 6 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | 61 | $241 – $241 |
| 7 | Cooley Dickinson Hospital Northampton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | 22 | $225 – $225 |
| 8 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 21 | $62 – $62 |
| 9 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $266 | $287 | $72 | 25% | 4–40 | $213 – $402 |
| 10 | Nantucket Cottage Hospital Nantucket, MA percent of total billed charges · bothfrom % of charges | 1 | $419 | $460 | $74 | 16% | 4–40 | $413 – $587 |
| 11 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $84 | $84 | — | — | 2–20 | $84 – $84 |
| 12 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $212 | $212 | — | — | 2–20 | $212 – $212 |
| 13 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 2–20 | $131 – $131 |
| 14 | Brattleboro Retreat Brattleboro, VT both | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 15 | Buchanan County Health Center Independence, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 16 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 4 | $105 | $101 | $17 | 17% | 1–10 | $74 – $119 |
| 17 | Newman Memorial Hospital, Inc. Shattuck, OK fee schedule · both | 1 | $189 | $189 | — | — | 1–10 | $189 – $189 |
| 18 | Newton Wellesley Hospital Newton, MA percent of total billed charges · inpatientfrom % of charges | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 19 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 1 | $190 | $190 | — | — | 1–10 | $190 – $190 |
| 20 | Salem Hospital Salem, MA percent of total billed charges · inpatientfrom % of charges | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 21 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $170 | $170 | — | — | 1–10 | $170 – $170 |
| 22 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO other · outpatient | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 23 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Payers reporting CPT 99221 · Snapshot 20261111T120946Z-9134e7f7