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
HC RX IP 250 OP 636
Low
$1
Average
$179
Median
$20
High
$3.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 15.6× 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.
Filter by billing methodology
Filter by billing class
61 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Boulder Community Health Lafayette, CO facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | CHIPPENHAM HOSPITAL RICHMOND, VA fee schedule · outpatient | 3 | $16 | $14 | $2 | 17% | — | $11 – $16 |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 9 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges | 3 | $293 | $303 | $32 | 11% | — | $271 – $347 |
| 11 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 3 | $16 | $14 | $2 | 17% | — | $11 – $16 |
| 12 | JOHNSTON-WILLIS HOSPITAL RICHMOND, VA fee schedule · outpatient | 3 | $16 | $14 | $2 | 17% | — | $11 – $16 |
| 13 | Kettering Medical Center Troy, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 14 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 15 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 16 | MaineHealth Rockport, ME percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | MaineHealth Rockport, ME percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | MaineHealth Portland, ME percent of total billed charges · inpatientfrom % of charges | 2 | $3.5k | $3.5k | $41 | 1% | — | $3.4k – $3.5k |
| 19 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $41 | 1% | — | $3.4k – $3.5k |
| 20 | Memorial Hospital Miramar Miramar, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $62 | $23 | 37% | — | $30 – $81 |
| 21 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $62 | $23 | 37% | — | $30 – $81 |
| 22 | Memorial Hospital West Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $62 | $23 | 37% | — | $30 – $81 |
| 23 | Memorial Regional Hospital Hollywood, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $62 | $23 | 37% | — | $30 – $81 |
| 24 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $19 | $19 | $1 | 4% | — | $19 – $20 |
| 25 | Missouri Baptist Sullivan Hospital Sullivan, MO percent of total billed charges · bothfrom % of charges | 4 | $25 | $26 | $3 | 11% | — | $24 – $31 |
← Payers reporting HCPCS C9300 · Snapshot 20261113T090226Z-3ce6c0b8