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
UNLISTED PREVENTIVE SERVICE
Low
$0
Average
$84
Median
$55
High
$212
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 40.4× 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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54 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 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 2 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Burke Health Waynesboro, GA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | COQUILLE VALLEY HOSPITAL COQUILLE, OR percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 6 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 7 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $29 | $15 | 49% | — | $14 – $58 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $70 | $81 | $46 | 57% | — | $31 – $156 |
| 10 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 11 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Emerson Hospital Concord, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 13 | Emerson Hospital Concord, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 14 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 15 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 16 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | MID-VALLEY HEALTHCARE INC Lebanon, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 18 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 19 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 20 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 21 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 22 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 23 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $159 | $159 | — | — | — | $159 – $159 |
| 24 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 22 | $159 | $159 | — | — | — | $159 – $159 |
| 25 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 22 | $159 | $159 | — | — | — | $159 – $159 |
← Payers reporting CPT 99429 · Snapshot 20261113T090226Z-3ce6c0b8