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
Tlso r fram soft pre ots
Low
$133
Average
$407
Median
$311
High
$4.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
201 hospitals; the 90th percentile is 2.8× 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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226 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $428 | $448 | $140 | 31% | — | $276 – $658 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $465 | $465 | — | — | — | $465 – $465 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $994 | $994 | — | — | — | $994 – $994 |
| 4 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 5 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $435 | $435 | — | — | — | $435 – $435 |
| 6 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $435 | $435 | — | — | — | $435 – $435 |
| 7 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 8 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 10 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $427 | $427 | — | — | — | $427 – $427 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $899 | $899 | — | — | — | $899 – $899 |
| 12 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $428 | $448 | $140 | 31% | — | $276 – $658 |
| 13 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 20 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 21 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 22 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 3 | $435 | $435 | — | — | — | $435 – $435 |
| 23 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $133 | $133 | — | — | — | $133 – $133 |
| 24 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 25 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
← Payers reporting HCPCS L0467 · Snapshot 20261112T181611Z-3fa9fb76