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
Fee Schedule
Low
$308
Average
$404
Median
$308
High
$927
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 1.8× 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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8 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $927 | $927 | — | — | — | $927 – $927 |
| 2 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 3 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $350 | $350 | $30 | 9% | — | $319 – $380 |
| 4 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $308 | $308 | — | — | — | $308 – $308 |
| 5 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 6 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 7 | The Medical Center of Peach County Inc Byron, GA fee schedule · both | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 8 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 3 | $363 | $416 | $83 | 20% | — | $351 – $533 |
← Payers reporting HCPCS C9408 · Snapshot 20261112T181611Z-3fa9fb76