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 Pre-Plan 3d Model W/Ccta and/or MRI
Low
$1
Average
$1.8k
Median
$1.0k
High
$15.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
350 hospitals; the 90th percentile is 4.0× 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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399 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 | Piedmont Atlanta Atlanta, GA per diem · both | 2 | $486 | $486 | $81 | 17% | 1–10 | $405 – $567 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $1.9k | $1.9k | $870 | 45% | — | $1.0k – $2.8k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA other · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 6 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $924 | $924 | — | — | — | $924 – $924 |
| 7 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $855 | $855 | — | — | — | $855 – $855 |
| 8 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $960 | $960 | — | — | — | $960 – $960 |
| 9 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $960 | $960 | — | — | — | $960 – $960 |
| 10 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $960 | $960 | — | — | — | $960 – $960 |
| 11 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | Atrium Health Hospitals Inc Kings Mountain, NC case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 2 | $664 | $664 | $145 | 22% | — | $519 – $809 |
| 14 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 3 | $809 | $762 | $183 | 24% | — | $519 – $959 |
| 15 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 3 | $642 | $657 | $119 | 18% | — | $519 – $809 |
| 16 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 3 | $642 | $657 | $119 | 18% | — | $519 – $809 |
| 17 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 3 | $642 | $657 | $119 | 18% | — | $519 – $809 |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 3 | $642 | $657 | $119 | 18% | — | $519 – $809 |
| 19 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 3 | $1.4k | $1.4k | $233 | 16% | — | $1.2k – $1.7k |
| 20 | Barnes Jewish Hospital St. Louis, MO per diem · both | 3 | $1.4k | $1.2k | $245 | 20% | — | $872 – $1.4k |
| 21 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
← Payers reporting HCPCS C9793 · Snapshot 20261111T120946Z-9134e7f7