Low
$8
Average
$51
Median
$17
High
$240
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 11.8× 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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12 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 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 5 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | — | — | — | $240 – $240 |
← Payers reporting HCPCS D9999 · Snapshot 20261111T120946Z-9134e7f7