Low
$16
Average
$413
Median
$520
High
$702
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3 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 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $16 | $16 | $6 | 36% | — | $10 – $22 |
| 2 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $520 | $520 | — | — | — | $520 – $520 |
| 3 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 3 | $614 | $702 | $140 | 20% | — | $593 – $900 |
← Payers reporting HCPCS C9033 · Snapshot 20261112T181611Z-3fa9fb76