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
Sacral nerve stim test lead
Low
$13
Average
$599
Median
$584
High
$1.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 9.6× 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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93 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $674 | $674 | — | — | — | $674 – $674 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $674 | $674 | — | — | — | $674 – $674 |
| 4 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 6 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $785 | $785 | — | — | — | $785 – $785 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $13 | $13 | $1 | 9% | — | $12 – $14 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $1.1k | $1.0k | $50 | 5% | — | $975 – $1.1k |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $902 | $872 | $42 | 5% | — | $812 – $902 |
| 10 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $463 | $463 | — | — | — | $463 – $463 |
| 11 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 6 | $463 | $432 | $71 | 16% | — | $273 – $463 |
| 12 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 7 | $389 | $386 | $23 | 6% | — | $332 – $405 |
| 13 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 7 | $577 | $577 | — | — | — | $577 – $577 |
| 14 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 7 | $611 | $583 | $68 | 12% | — | $416 – $611 |
| 15 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 6 | $442 | $442 | — | — | — | $442 – $442 |
| 16 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 7 | $459 | $459 | $50 | 11% | — | $345 – $504 |
| 17 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 7 | $575 | $546 | $69 | 13% | — | $377 – $575 |
| 18 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 7 | $459 | $459 | $50 | 11% | — | $345 – $504 |
| 19 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 6 | $585 | $585 | — | — | — | $585 – $585 |
| 20 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 7 | $280 | $376 | $125 | 33% | — | $280 – $566 |
| 21 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 7 | $459 | $459 | $50 | 11% | — | $345 – $504 |
| 22 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 6 | $410 | $410 | — | — | — | $410 – $410 |
| 23 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 2 | $677 | $677 | $53 | 8% | — | $624 – $730 |
| 24 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $59 | $59 | — | — | — | $59 – $59 |
← Payers reporting HCPCS A4290 · Snapshot 20261112T181611Z-3fa9fb76