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
Fee Schedule
Low
$2
Average
$23
Median
$6
High
$129
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 40.4× 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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44 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 | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $53 | $53 | $23 | 44% | — | $30 – $76 |
| 4 | EATON RAPIDS MEDICAL CENTER Eaton Rapids, MI percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $12 | $12 | $1 | 9% | — | $11 – $13 |
| 6 | HERITAGE VALLEY BEAVER BEAVER, PA percent of total billed charges · bothfrom % of charges | 1 | $7 | $6 | $2 | 30% | — | $4 – $9 |
| 7 | HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA percent of total billed charges · bothfrom % of charges | 1 | $7 | $6 | $2 | 30% | — | $4 – $9 |
| 8 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Marshfield Medical Center - Beaver Dam Beaver Dam, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Marshfield Medical Center - Beaver Dam Beaver Dam, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 16 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 23 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 25 | Marshfield Medical Center - Rice Lake Rice Lake, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS J2275 · Snapshot 20261113T090226Z-3ce6c0b8