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
FCP OPTH WATZKE SS TI SLV SPRD NS REUS
Low
$3
Average
$2.5k
Median
$1.2k
High
$33.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
452 hospitals; the 90th percentile is 95.3× 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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629 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 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $248 | $544 | 219% | 56–560 | $24 – $2.7k |
| 2 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $90 | $97 | 107% | 26–260 | $12 – $326 |
| 3 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $88 | $52 | 59% | 20 | $43 – $235 |
| 4 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 8 | $913 | $1.1k | $1.1k | 96% | 4–40 | $42 – $2.7k |
| 5 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 8 | $913 | $1.1k | $1.1k | 96% | 4–40 | $42 – $2.7k |
| 6 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $134 | $134 | — | — | 2–20 | $134 – $134 |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | $1.5k | 94% | 2–20 | $96 – $3.0k |
| 8 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $129 | $151 | 117% | 1–10 | $42 – $391 |
| 9 | Monmouth Medical Center Southern Campus Lakewood, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $140 | $169 | 121% | 1–10 | $42 – $433 |
| 10 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $271 | $312 | 115% | 1–10 | $50 – $712 |
| 11 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 12 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 13 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 14 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $96 | $327 | $342 | 105% | — | $74 – $827 |
| 15 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $327 | $342 | 105% | — | $74 – $827 |
| 16 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | $29 | 2% | — | $1.5k – $1.5k |
| 17 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $29 | 2% | — | $1.5k – $1.5k |
| 18 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $96 | $327 | $342 | 105% | — | $74 – $827 |
| 19 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $327 | $342 | 105% | — | $74 – $827 |
| 20 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | $27 | 2% | — | $1.4k – $1.4k |
| 21 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $27 | 2% | — | $1.4k – $1.4k |
| 22 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | $29 | 2% | — | $1.5k – $1.5k |
| 23 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $29 | 2% | — | $1.5k – $1.5k |
| 24 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · inpatientfrom % of charges | 1 | $374 | $378 | $246 | 65% | — | $130 – $636 |
| 25 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $374 | $378 | $246 | 65% | — | $130 – $636 |
← Payers reporting HCPCS C1784 · Snapshot 20261111T120946Z-9134e7f7