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.
Generation details were not recorded for this description.
Original text from hospital filings
Fee Schedule
Low
$234
Average
$894
Median
$620
High
$1.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 4.8× 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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24 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 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $914 | $914 | — | — | — | $914 – $914 |
| 3 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 5 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 8 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 9 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 10 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $433 | $433 | — | — | — | $433 – $433 |
| 11 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $592 | $592 | $51 | 9% | — | $540 – $643 |
| 13 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 5 | $1.6k | $1.6k | $175 | 11% | — | $1.4k – $1.9k |
| 14 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $175 | 11% | — | $1.5k – $1.9k |
| 15 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $175 | 11% | — | $1.5k – $1.9k |
| 16 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 5 | $1.6k | $1.6k | $175 | 11% | — | $1.4k – $1.9k |
| 17 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $175 | 11% | — | $1.5k – $1.9k |
| 18 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $175 | 11% | — | $1.5k – $1.9k |
| 19 | METROPOLITAN METHODIST SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $175 | 11% | — | $1.5k – $1.9k |
| 20 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $459 | $459 | — | — | — | $459 – $459 |
| 21 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 22 | STONE OAK REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $175 | 11% | — | $1.5k – $1.9k |
| 23 | The Mount Sinai Hospital New York, NY fee schedule · outpatient | 1 | $686 | $686 | — | — | — | $686 – $686 |
| 24 | Western Missouri Medical Center Warrensburg, MO facility · fee schedule · outpatient | 1 | $377 | $377 | — | — | — | $377 – $377 |
← Payers reporting HCPCS J1441 · Snapshot 20261113T090226Z-3ce6c0b8