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
MAINTENANCE 5% WL FROM BASELINE WEIGHT IN MONTHS 7-12
Low
$4
Average
$19
Median
$8
High
$175
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 5.5× 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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30 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | $0 | 3% | — | $12 – $13 |
| 9 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 9 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $11 | $11 | $1 | 9% | — | $10 – $11 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $22 | $22 | $2 | 9% | — | $20 – $24 |
| 12 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 13 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL professional · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | Kalkaska Memorial Health Center Kalkaska, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 19 | Manchester Memorial Hospital Vernon Rockville, CT percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 20 | Medical Center of the Rockies Loveland, CO percent of total billed charges · outpatientfrom % of charges | 4 | $32 | $32 | $7 | 23% | — | $22 – $42 |
| 21 | Munson Healthcare Cadillac Cadillac, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | Munson Healthcare Charlevoix Hospital Charlevoix, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Munson Healthcare Grayling Grayling, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Munson Healthcare Manistee Hospital Manistee, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting HCPCS G9888 · Snapshot 20261111T120946Z-9134e7f7