Low
$28
Average
$271
Median
$240
High
$526
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 17.7× 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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25 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 | $121 | $121 | — | — | — | $121 – $121 |
| 2 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 3 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 4 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $53 | $53 | — | — | — | $53 – $53 |
| 5 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 6 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $500 | $480 | $28 | 6% | — | $440 – $500 |
| 7 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $526 | $497 | $41 | 8% | — | $440 – $526 |
| 8 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $498 | $498 | — | — | — | $498 – $498 |
| 9 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $526 | $497 | $41 | 8% | — | $440 – $526 |
| 10 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $498 | $498 | — | — | — | $498 – $498 |
| 11 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $526 | $497 | $41 | 8% | — | $440 – $526 |
| 12 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $498 | $498 | — | — | — | $498 – $498 |
| 13 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $494 | $494 | — | — | — | $494 – $494 |
| 14 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $526 | $497 | $41 | 8% | — | $440 – $526 |
| 15 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $526 | $497 | $41 | 8% | — | $440 – $526 |
| 16 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $526 | $526 | — | — | — | $526 – $526 |
| 17 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $526 | $497 | $41 | 8% | — | $440 – $526 |
| 18 | John H. Stroger, Jr. Hospital Chicago, IL fee schedule · both | 2 | $114 | $114 | — | — | — | $114 – $114 |
| 19 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 20 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $46 | $46 | — | — | — | $46 – $46 |
| 21 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 22 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 23 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 24 | The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient | 1 | $28 | $28 | $12 | 42% | — | $16 – $40 |
| 25 | The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
← Payers reporting HCPCS D0475 · Snapshot 20261112T124536Z-e251e855