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
facility
Low
$0
Average
$452
Median
$396
High
$8.4k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
767 hospitals; the 90th percentile is 21.1× 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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1,149 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $95 | $95 | $19 | 20% | 13–22 | $76 – $114 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 11 | $385 | $420 | $290 | 69% | 2–20 | $120 – $854 |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $95 | $95 | $19 | 20% | 2–20 | $76 – $114 |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $416 | $416 | $181 | 44% | 2–20 | $234 – $597 |
| 5 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $233 | $233 | $102 | 44% | 2–20 | $131 – $336 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $271 | $324 | $100 | 31% | 2–20 | $237 – $464 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $271 | $324 | $100 | 31% | 2–20 | $237 – $464 |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $323 | $323 | $38 | 12% | 2–20 | $285 – $361 |
| 9 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $212 | $221 | $12 | 5% | 2–20 | $212 – $238 |
| 10 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 2 | $527 | $527 | $32 | 6% | 1–10 | $495 – $558 |
| 11 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 2 | $527 | $527 | $32 | 6% | 1–10 | $495 – $558 |
| 12 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $349 | $349 | — | — | 1–10 | $349 – $349 |
| 13 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $344 | $344 | — | — | 1–10 | $344 – $344 |
| 14 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | — | — | 1–10 | $230 – $230 |
| 15 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $653 | $653 | — | — | 1–10 | $653 – $653 |
| 16 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · bothfrom % of charges | 1 | $715 | $715 | — | — | 1–10 | $715 – $715 |
| 17 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $429 | $441 | $58 | 13% | 1–10 | $373 – $533 |
| 18 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $429 | $441 | $58 | 13% | 1–10 | $373 – $533 |
| 19 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $252 | $261 | $23 | 9% | 1–10 | $239 – $292 |
| 20 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $266 | $266 | — | — | 1–10 | $266 – $266 |
| 21 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $526 | $526 | — | — | — | $526 – $526 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $726 | $726 | — | — | — | $726 – $726 |
| 23 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $726 | $726 | — | — | — | $726 – $726 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $899 | $899 | $463 | 52% | — | $436 – $1.4k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $410 | $410 | $171 | 42% | — | $238 – $581 |
← Payers reporting HCPCS L3906 · Snapshot 20261111T120946Z-9134e7f7