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
SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH
Low
$0
Average
$44
Median
$1
High
$8.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
246 hospitals; the 90th percentile is 126.7× 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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291 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | 4,257 | $7 – $7 |
| 2 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 4 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 5 | Allina Health Systems Shakopee, MN facility · other · outpatient | 1 | $31 | $40 | $12 | 30% | — | $31 – $56 |
| 6 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 3 | $27 | $31 | $7 | 21% | — | $26 – $40 |
| 9 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 4 | $33 | $33 | $11 | 34% | — | $19 – $48 |
| 10 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 3 | $32 | $33 | $6 | 18% | — | $26 – $40 |
| 11 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $33 | $6 | 18% | — | $26 – $40 |
| 12 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 3 | $32 | $33 | $6 | 18% | — | $26 – $40 |
| 13 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $33 | $6 | 18% | — | $26 – $40 |
| 14 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Boulder Community Health Lafayette, CO facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 20 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 4 | $16 | $17 | $1 | 5% | — | $16 – $18 |
| 21 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | CHIPPENHAM HOSPITAL RICHMOND, VA fee schedule · outpatient | 3 | $1 | $1 | $0 | 16% | — | $0 – $1 |
| 23 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS A9154 · Snapshot 20261111T120946Z-9134e7f7