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
HB-Cica Care Sheet, per Each
Low
$0
Average
$127
Median
$72
High
$1.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
150 hospitals; the 90th percentile is 18.3× 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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173 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $43 | $84 | $79 | 94% | 8–80 | $19 – $290 |
| 2 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $19 | 92% | 2–20 | $2 – $39 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 6 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $16 | 3% | — | $512 – $544 |
| 9 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $16 | 3% | — | $512 – $544 |
| 10 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $16 | 3% | — | $512 – $544 |
| 11 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $16 | 3% | — | $512 – $544 |
| 12 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $521 | $525 | $13 | 3% | — | $512 – $544 |
| 13 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $16 | 3% | — | $512 – $544 |
| 14 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $521 | $525 | $13 | 3% | — | $512 – $544 |
| 15 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $16 | 3% | — | $512 – $544 |
| 16 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $16 | 3% | — | $512 – $544 |
| 17 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | $5 | 7% | — | $64 – $74 |
| 19 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | $5 | 7% | — | $64 – $74 |
| 20 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | $8 | 7% | — | $104 – $121 |
| 21 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 23 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 25 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
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