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
$8
Average
$2.3k
Median
$987
High
$11.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 24.6× 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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25 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 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 2 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 3 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 4 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 7 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $582 | $582 | — | — | — | $582 – $582 |
| 8 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $830 | $830 | — | — | — | $830 – $830 |
| 10 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · inpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 12 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 13 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $1.1k | $1.1k | $95 | 9% | — | $1.0k – $1.2k |
| 14 | HERITAGE VALLEY BEAVER BEAVER, PA percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 15 | HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 16 | MEMORIAL SATILLA HEALTH Waycross, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $10.6k | $8.6k | 81% | — | $4.5k – $22.7k |
| 17 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $920 | $920 | — | — | — | $920 – $920 |
| 18 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | $18 | 1% | — | $3.1k – $3.1k |
| 20 | Ozark Health Inc. Clinton, AR other · both | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 21 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | Pana Community Hospital Association Pana, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.8k | $6.8k | $4.5k | 67% | — | $2.3k – $11.3k |
| 23 | The Mount Sinai Hospital New York, NY fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 3 | $1.1k | $1.2k | $248 | 20% | — | $1.0k – $1.6k |
| 25 | Western Missouri Medical Center Warrensburg, MO facility · fee schedule · outpatient | 1 | $606 | $606 | — | — | — | $606 – $606 |
← Payers reporting HCPCS J9310 · Snapshot 20261112T181611Z-3fa9fb76