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
Lso sag-coronal panel custom
Low
$3
Average
$2.4k
Median
$1.8k
High
$8.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
276 hospitals; the 90th percentile is 3.7× 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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346 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 | $2.2k | $2.2k | $589 | 26% | — | $1.7k – $2.8k |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 4 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 5 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 2 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 6 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 2 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 13 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Baptist Medical Center of Nassau, INC Yulee, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $2.8k | $2.7k | $210 | 8% | — | $2.3k – $2.8k |
| 15 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $2.1k | $1.9k | $309 | 16% | — | $1.5k – $2.2k |
| 16 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 21 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 22 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $814 | $814 | — | — | — | $814 – $814 |
| 24 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 25 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $2.2k | $2.2k | $589 | 26% | — | $1.7k – $2.8k |
← Payers reporting HCPCS L0638 · Snapshot 20261112T181611Z-3fa9fb76