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
Add 20 m of monthly tx
Low
$0
Average
$61
Median
$40
High
$222
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 5.6× 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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91 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 · percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 2 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 12 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $164 | $164 | $42 | 26% | — | $122 – $206 |
| 15 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 16 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 19 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 20 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 21 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $92 | $93 | $3 | 3% | — | $91 – $97 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 6 | $268 | $268 | — | — | — | $268 – $268 |
| 23 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $32 | $32 | $5 | 15% | — | $27 – $37 |
| 24 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 25 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting HCPCS G0554 · Snapshot 20261112T124536Z-e251e855