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
Md/oth eval acut kid no esrd
Low
$45
Average
$727
Median
$545
High
$1.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 14.6× 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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10 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 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $45 | $45 | — | — | — | $45 – $45 |
| 3 | Connecticut Children's Hartford, CT per diem · both | 1 | $831 | $831 | $69 | 8% | — | $762 – $900 |
| 4 | East Cooper Medical Center LLC Mt Pleasant, SC other · outpatient | 2 | $1.0k | $1.0k | $158 | 15% | — | $864 – $1.2k |
| 5 | Hardin County General Hospital Savannah, TN facility · other · outpatient | 1 | $549 | $549 | — | — | — | $549 – $549 |
| 6 | Montefiore Medical Center Bronx, NY other · outpatient | 2 | $1.9k | $1.9k | $102 | 5% | — | $1.8k – $2.0k |
| 7 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI percent of total billed charges · bothfrom % of charges | 1 | $541 | $541 | — | — | — | $541 – $541 |
| 8 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI percent of total billed charges · bothfrom % of charges | 1 | $541 | $541 | — | — | — | $541 – $541 |
| 9 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI percent of total billed charges · bothfrom % of charges | 1 | $541 | $541 | — | — | — | $541 – $541 |
| 10 | ST. CLAIR MEMORIAL HOSPITAL PITTSBURGH, PA fee schedule · both | 6 | $90 | $90 | — | — | — | $90 – $90 |
← Payers reporting HCPCS G0492 · Snapshot 20261112T181611Z-3fa9fb76