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
Alcohol and/or other drug abuse services, not otherwise specified
Low
$12
Average
$172
Median
$111
High
$420
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 11.0× 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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34 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 | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 3 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $53 | $53 | $2 | 4% | — | $51 – $55 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 5 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 3 | $111 | $111 | $9 | 8% | — | $94 – $122 |
| 8 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 9 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $23 | $23 | $2 | 9% | — | $21 – $25 |
| 11 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 3 | $111 | $111 | $9 | 8% | — | $94 – $122 |
| 12 | Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 14 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 16 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 17 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 18 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 19 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Mayo Regional Hospital Dover Foxcroft, ME facility · percent of total billed charges · inpatientfrom % of charges | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 21 | Mayo Regional Hospital Dover Foxcroft, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 22 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 23 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 24 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 25 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
← Payers reporting HCPCS H0047 · Snapshot 20261113T090226Z-3ce6c0b8