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
FT ARCH SUPRT PREMOLD LONGIT
Low
$0
Average
$82
Median
$60
High
$730
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
320 hospitals; the 90th percentile is 4.5× 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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391 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 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · bothfrom % of charges | 9 | $49 | $51 | $6 | 13% | 10–100 | $47 – $80 |
| 2 | Saint Luke’s Hospital of Trenton Trenton, MO percent of total billed charges · bothfrom % of charges | 9 | $52 | $52 | $3 | 5% | 9–90 | $50 – $60 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $61 | $5 | 7% | — | $58 – $71 |
| 4 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $80 | $80 | $21 | 26% | — | $59 – $101 |
| 6 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 7 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $110 | $115 | $25 | 22% | — | $87 – $149 |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 10 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $170 | — | — | — | $170 – $170 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 18 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 19 | BRFHH MONROE, LLC Monroe, LA other · inpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 20 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 21 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 22 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 23 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 24 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 25 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $134 | $170 | $52 | 30% | — | $134 – $244 |
← Payers reporting HCPCS L3040 · Snapshot 20261111T120946Z-9134e7f7