Low
$52
Average
$110
Median
$104
High
$182
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 3.5× 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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38 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 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 2 | Boulder Community Health Lafayette, CO facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 3 | CHIPPENHAM HOSPITAL RICHMOND, VA fee schedule · outpatient | 3 | $80 | $72 | $12 | 17% | — | $55 – $80 |
| 4 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 6 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 7 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 3 | $80 | $72 | $12 | 17% | — | $55 – $80 |
| 8 | JOHNSTON-WILLIS HOSPITAL RICHMOND, VA fee schedule · outpatient | 3 | $80 | $72 | $12 | 17% | — | $55 – $80 |
| 9 | Kettering Medical Center Troy, OH fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 10 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 11 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 12 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 14 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 15 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 16 | Munson Medical Center Traverse City, MI facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 17 | PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient | 3 | $80 | $72 | $12 | 17% | — | $55 – $80 |
| 18 | Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 19 | Providence Health System - Southern California Burbank, CA fee schedule · outpatient | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 20 | Providence Health System - Southern California Mission Hills, CA fee schedule · outpatient | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 21 | Providence Health System - Southern California Torrance, CA fee schedule · outpatient | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 22 | Providence Health System - Southern California San Pedro, CA fee schedule · outpatient | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 23 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 3 | $76 | $66 | $13 | 20% | — | $47 – $76 |
| 24 | RETREAT DOCTORS HOSPITAL RICHMOND, VA fee schedule · outpatient | 3 | $80 | $72 | $12 | 17% | — | $55 – $80 |
| 25 | SPOTSYLVANIA REGIONAL MEDICAL CENTER FREDERICKSBURG, VA fee schedule · outpatient | 3 | $76 | $69 | $10 | 15% | — | $55 – $76 |
← Payers reporting HCPCS C9304 · Snapshot 20261113T090226Z-3ce6c0b8