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
FOLEY IN&OUT UA ONLY
Low
$0
Average
$155
Median
$20
High
$26.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1276 hospitals; the 90th percentile is 15.0× 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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1,759 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 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | 6–60 | $43 – $43 |
| 2 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 5 | $31.5k | $26.7k | $9.6k | 36% | 4–40 | $7.6k – $31.5k |
| 3 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 5 | $31.5k | $26.8k | $9.3k | 35% | 4–40 | $8.2k – $31.5k |
| 4 | Northside Hospital, Inc. Canton, GA other · outpatient | 5 | $31.5k | $26.7k | $9.6k | 36% | 4–40 | $7.5k – $31.5k |
| 5 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $18 | $18 | $6 | 32% | 2–20 | $9 – $25 |
| 6 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | $4 | 42% | 2–20 | $5 – $12 |
| 7 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 8 | $13 | $13 | $2 | 12% | 2–20 | $11 – $15 |
| 8 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 8 | $13 | $13 | $2 | 12% | 2–20 | $11 – $15 |
| 9 | Allina Health Systems Shakopee, MN facility · other · outpatient | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 10 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 4 | $6 | $6 | $3 | 44% | 1–10 | $2 – $9 |
| 11 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 9 | $174 | $174 | — | — | 1–10 | $174 – $174 |
| 12 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 2 | $12 | $12 | $4 | 36% | 1–10 | $8 – $17 |
| 13 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $37 | $37 | $1 | 2% | 1–10 | $37 – $39 |
| 14 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $104 | $104 | $4 | 4% | 1–10 | $100 – $109 |
| 15 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 16 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 1–10 | $54 – $54 |
| 17 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 18 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $60 | $60 | $7 | 12% | 1–10 | $53 – $67 |
| 19 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 20 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 21 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 22 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 25 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting HCPCS P9612 · Snapshot 20261111T120946Z-9134e7f7