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 Visit Annual Well W/ Ppps Subsequent Visit
Low
$0
Average
$12.6k
Median
$172
High
$6337.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
510 hospitals; the 90th percentile is 3.6× 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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740 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 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 2 | $206 | $213 | $60 | 28% | 113 | $140 – $299 |
| 2 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 2 | $131 | $131 | $11 | 9% | 71 | $120 – $143 |
| 3 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 4 | $149 | $149 | — | — | 40–58 | $149 – $149 |
| 4 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 2 | $227 | $227 | $78 | 34% | 17 | $149 – $305 |
| 5 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $173 | $173 | — | — | 4–40 | $173 – $173 |
| 6 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $400 | $400 | $44 | 11% | 2–20 | $356 – $444 |
| 7 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $389 | $389 | $77 | 20% | 2–20 | $312 – $466 |
| 8 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $325 | $325 | — | — | 1–10 | $325 – $325 |
| 9 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 10 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | — | — | 1–10 | $129 – $129 |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $466 | $466 | — | — | 1–10 | $466 – $466 |
| 12 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | 1–10 | $305 – $305 |
| 13 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | 1–10 | $305 – $305 |
| 14 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 15 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 16 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $99 | $101 | $34 | 34% | 1–10 | $64 – $140 |
| 17 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | 1–10 | $187 – $187 |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 19 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $107 | $110 | $37 | 34% | 1–10 | $68 – $156 |
| 20 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $210 | $46 | 22% | — | $164 – $256 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $210 | $46 | 22% | — | $164 – $256 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
← Payers reporting HCPCS G0439 · Snapshot 20261111T120946Z-9134e7f7