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
Fee Schedule
Low
$0
Average
$2
Median
$0
High
$20
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 60.0× 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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25 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $0 | $0 | $0 | 20% | — | $0 – $0 |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 23% | — | $1 – $1 |
| 11 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | St Francis Hospital Colorado Springs, CO fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | UPMC Washington Washington, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | United Regional Health Care System Falls, TX facility · percent of total billed charges · inpatientfrom % of charges | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | United Regional Health Care System Falls, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $0 | $0 | $0 | 9% | — | $0 – $0 |
| 25 | Westchester Medical Center Valhalla, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
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