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
facility
Low
$0
Average
$207
Median
$21
High
$8.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
99 hospitals; the 90th percentile is 575.4× 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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123 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $6 | $6 | $1 | 12% | 25 | $5 – $7 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 14 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 15 | Carlsbad Medical Center LLC Carlsbad, NM facility · percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $1 | 10% | — | $6 – $8 |
| 16 | Cleveland Clinic Mercy Hospital Canton, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $8 | $0 | 3% | — | $8 – $8 |
| 18 | Crestview Hospital Corporation Crestview, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Crestview Hospital Corporation Crestview, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $1 | 17% | — | $3 – $4 |
| 20 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $588 | $588 | — | — | — | $588 – $588 |
| 21 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN percent of total billed charges · bothfrom % of charges | 2 | $284 | $292 | $192 | 66% | — | $96 – $532 |
| 22 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 23 | Fairview Hospital Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 24 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Geisinger Community Medical Center Scranton, PA percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting HCPCS J0162 · Snapshot 20261111T120946Z-9134e7f7