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
Cyto Vag/Cer W/Manu W/Phy Sup
Low
$5
Average
$75
Median
$58
High
$345
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
796 hospitals; the 90th percentile is 5.2× 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.
Filter by billing methodology
Filter by billing class
981 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 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $299 | $299 | $59 | 20% | 829 | $240 – $358 |
| 2 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 752 | $129 – $129 |
| 3 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 664 | $129 – $129 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $299 | $299 | $59 | 20% | 569 | $240 – $358 |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | $0 | 0% | 268 | $42 – $43 |
| 6 | Cooley Dickinson Hospital Northampton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | 97 | $206 – $206 |
| 7 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $162 | $194 | $66 | 34% | 96 | $134 – $285 |
| 8 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $27 | $58 | $54 | 93% | 85 | $26 – $151 |
| 9 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $71 | $71 | — | — | 67 | $71 – $71 |
| 10 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | $0 | 0% | 67 | $93 – $93 |
| 11 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $105 | $105 | $29 | 28% | 39 | $76 – $134 |
| 12 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 3 | $147 | $147 | — | — | 35 | $147 – $147 |
| 13 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $34 | $24 | 70% | 27 | $17 – $74 |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $19 | $19 | — | — | 27 | $19 – $19 |
| 15 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | — | — | 24 | $129 – $129 |
| 16 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | — | — | 24 | $129 – $129 |
| 17 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | 3–30 | $160 – $160 |
| 18 | Allina Health Systems Shakopee, MN facility · other · outpatient | 1 | $102 | $102 | $6 | 6% | 1–10 | $95 – $108 |
| 19 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $56 | $50 | $9 | 19% | 1–10 | $37 – $57 |
| 20 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 21 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 22 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC fee schedule · both | 3 | $27 | $58 | $54 | 93% | 1–10 | $26 – $151 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $25 | $25 | $4 | 17% | — | $20 – $29 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
← Payers reporting HCPCS G0145 · Snapshot 20261111T120946Z-9134e7f7