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.
Generation details were not recorded for this description.
Original text from hospital filings
NDL NONCORING RFL22G2IN
Low
$1
Average
$136
Median
$16
High
$3.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
111 hospitals; the 90th percentile is 59.6× 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.
Filter by billing methodology
Filter by billing class
145 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 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $5 | $5 | $1 | 23% | 8–80 | $4 – $6 |
| 2 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 3 | $287 | $298 | $170 | 57% | 2–20 | $122 – $568 |
| 3 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 3 | $403 | $458 | $78 | 17% | 1–10 | $403 – $568 |
| 4 | Knapp Medical Center Weslaco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 5 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 10 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 12 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $14 | $14 | $3 | 19% | — | $12 – $17 |
| 13 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | $3 | 20% | — | $10 – $17 |
| 14 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 16 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 18 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 20 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 22 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 24 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
← Payers reporting HCPCS A4212 · Snapshot 20261111T120946Z-9134e7f7