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
DIANEAL LC 1.5%DEX 6LINJ
Low
$11
Average
$171
Median
$124
High
$938
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 20.2× 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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70 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | $1 | 2% | — | $65 – $69 |
| 2 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $75 | $86 | $21 | 24% | — | $72 – $125 |
| 3 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 4 | $73 | $76 | $7 | 9% | — | $71 – $89 |
| 4 | CHIPPENHAM HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 3 | $280 | $252 | $43 | 17% | — | $191 – $287 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · inpatientfrom % of charges | 3 | $18 | $17 | $1 | 6% | — | $16 – $18 |
| 8 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $18 | $17 | $1 | 6% | — | $16 – $18 |
| 9 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $21 | $2 | 11% | — | $19 – $24 |
| 10 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges | 3 | $36 | $37 | $4 | 11% | — | $33 – $43 |
| 11 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA percent of total billed charges · outpatientfrom % of charges | 3 | $260 | $232 | $39 | 17% | — | $177 – $260 |
| 12 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 4 | $71 | $76 | $11 | 14% | — | $68 – $97 |
| 13 | JOHNSTON-WILLIS HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 3 | $280 | $252 | $43 | 17% | — | $191 – $287 |
| 14 | LEWISGALE HOSPITAL ALLEGHANY LOW MOOR, VA percent of total billed charges · outpatientfrom % of charges | 2 | $938 | $938 | — | — | — | $938 – $938 |
| 15 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 3 | $39 | $32 | $11 | 34% | — | $16 – $40 |
| 16 | LEWISGALE MEDICAL CENTER ROANOKE, VA percent of total billed charges · outpatientfrom % of charges | 3 | $207 | $175 | $61 | 35% | — | $88 – $231 |
| 17 | MED CITY HEART HOSPITAL Dallas, TX percent of total billed charges · outpatientfrom % of charges | 8 | $120 | $110 | $33 | 30% | — | $58 – $160 |
| 18 | MED CITY SPINE HOSPITAL DALLAS, TX percent of total billed charges · outpatientfrom % of charges | 8 | $120 | $110 | $33 | 30% | — | $58 – $160 |
| 19 | MEDICAL CITY ALLIANCE HASLET, TX percent of total billed charges · outpatientfrom % of charges | 8 | $178 | $164 | $49 | 30% | — | $86 – $238 |
| 20 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX percent of total billed charges · outpatientfrom % of charges | 8 | $150 | $146 | $46 | 31% | — | $69 – $239 |
| 21 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 9 | $126 | $124 | $50 | 40% | — | $58 – $236 |
| 22 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 9 | $657 | $642 | $249 | 39% | — | $301 – $1.2k |
| 23 | MEDICAL CITY MCKINNEY MCKINNEY, TX percent of total billed charges · outpatientfrom % of charges | 9 | $140 | $225 | $207 | 92% | — | $42 – $1.1k |
| 24 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 9 | $188 | $203 | $118 | 58% | — | $86 – $511 |
| 25 | MEDICAL CITY SURGERY CITY ALLIANCE FT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 8 | $178 | $164 | $49 | 30% | — | $86 – $238 |
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