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
PR Provision Test Material(S) and Equipment Home Inr
Low
$54
Average
$193
Median
$138
High
$3.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
337 hospitals; the 90th percentile is 3.2× 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.
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407 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 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $396 | $396 | $17 | 4% | 101–110 | $380 – $413 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $314 | $317 | $7 | 2% | 20 | $314 – $330 |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 1 | $180 | $180 | — | — | 1–10 | $180 – $180 |
| 4 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $243 | $243 | $110 | 45% | — | $133 – $353 |
| 7 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 8 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 9 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 10 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 11 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 12 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 13 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 14 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 15 | Adventhealth Murray Chatsworth, GA fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 16 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 17 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 18 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 19 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 21 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · inpatientfrom % of charges | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 22 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 23 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 24 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 25 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7