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/drug service 15 min
Low
$0
Average
$53
Median
$31
High
$235
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 357.5× 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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38 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 | $235 | $235 | — | — | — | $235 – $235 |
| 2 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Carlsbad Medical Center LLC Carlsbad, NM facility · percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $110 | $10 | 9% | — | $100 – $121 |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $89 | $89 | $8 | 9% | — | $81 – $96 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 17 | Las Cruces Medical Center LLC Las Cruces, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 18 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 4 | $102 | $102 | — | — | — | $102 – $102 |
| 24 | Mount Desert Island Hospital Bar Harbor, ME facility · percent of total billed charges · bothfrom % of charges | 2 | $132 | $132 | $46 | 35% | — | $86 – $179 |
| 25 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $78 | $78 | $2 | 3% | — | $76 – $80 |
← Payers reporting HCPCS H0050 · Snapshot 20261111T120946Z-9134e7f7