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
Pre-op service LVRS 10-15dos
Low
$1
Average
$704
Median
$297
High
$5.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
274 hospitals; the 90th percentile is 11.3× 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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289 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $587 | $587 | $266 | 45% | — | $321 – $853 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 5 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 6 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 7 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 8 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 9 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 10 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 11 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 12 | Adventhealth Murray Chatsworth, GA fee schedule · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 13 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 14 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 15 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 16 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 17 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $874 | $874 | — | — | — | $874 – $874 |
| 18 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 19 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 20 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $283 | 8% | — | $3.2k – $3.8k |
| 21 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $283 | 8% | — | $3.2k – $3.8k |
| 22 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $283 | 8% | — | $3.2k – $3.8k |
| 23 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $283 | 8% | — | $3.2k – $3.8k |
| 24 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $283 | 8% | — | $3.2k – $3.8k |
| 25 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $283 | 8% | — | $3.2k – $3.8k |
← Payers reporting HCPCS G0303 · Snapshot 20261112T181611Z-3fa9fb76