THE MDPP BENEFICIARY ACHIEVED AT LEAST 5% WEIGHT LOSS (WL) FROM HIS/HER BASELINE WEIGHT IN MONTHS 1-12 OF THE MDPP SERVICES PERIOD UNDER THE MDPP EXPANDED MODEL (EM). THIS IS A ONE-TIME PAYMENT AVAILABLE WHEN A BENEFICIARY FIRST ACHIEVES AT LEAST 5% WEIG

Cigna pricing summary

Low

Average

$229

Median

$160

High

$691

Cigna rate distribution

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131 hospital rates

#		Plans
1	GULF COAST MEDICAL CENTER FORT MYERS, FL professional · percent of total billed charges · bothfrom % of charges	1	$166	$166	—	—	1–10	$166 – $166
2	Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both	1	$345	$345	—	—	—	$345 – $345
3	Alomere Health Alexandria, MN facility · fee schedule · outpatient	1	$515	$515	—	—	—	$515 – $515
4	BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges	1	$569	$569	—	—	—	$569 – $569
5	BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges	1	$691	$691	—	—	—	$691 – $691
6	BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges	1	$663	$663	—	—	—	$663 – $663
7	BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges	1	$672	$672	—	—	—	$672 – $672
8	BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges	1	$379	$379	—	—	—	$379 – $379
9	BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges	1	$583	$583	—	—	—	$583 – $583
10	BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY percent of total billed charges · bothfrom % of charges	1	$240	$240	—	—	—	$240 – $240
11	Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges	1	$243	$243	—	—	—	$243 – $243
12	Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges	1	$243	$243	—	—	—	$243 – $243
13	Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges	1	$304	$304	—	—	—	$304 – $304
14	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$122	$122	—	—	—	$122 – $122
15	Boone Memorial Hospital Madison, WV percent of total billed charges · bothfrom % of charges	1	$19	$19	—	—	—	$19 – $19
16	Central Iowa Hospital Corporation Des Moines, IA fee schedule · both	1	$345	$345	—	—	—	$345 – $345
17	Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both	1	$345	$345	—	—	—	$345 – $345
18	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	1	$122	$122	—	—	—	$122 – $122
19	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	2	$131	$131	—	—	—	$131 – $131
20	Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges	2	$293	$293	$8	3%	—	$285 – $300
21	Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both	1	$0	$0	—	—	—	$0 – $0
22	Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges	1	$188	$188	—	—	—	$188 – $188
23	Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both	1	$0	$0	—	—	—	$0 – $0
24	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$0	$0	—	—	—	$0 – $0
25	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$0	$0	—	—	—	$0 – $0