Cygnus product, charged per square centimeter

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC (SUP SHELL Q4170) CYGNUS, PER SQ CM

Tricare pricing summary

Low

$109

Average

$494

Median

$126

High

$3.9k

Tricare rate distribution

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28 hospital rates

#		Plans
1	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$121	$121	—	—	—	$121 – $121
2	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$121	$121	—	—	—	$121 – $121
3	Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient	1	$109	$109	—	—	—	$109 – $109
4	Central Maine Medical Center Lewiston, ME fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
5	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k
6	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
7	FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
8	Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
9	Kaleida Health Buffalo, NY fee schedule · outpatient	1	$148	$148	—	—	—	$148 – $148
10	LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient	1	$121	$121	—	—	—	$121 – $121
11	Las Cruces Medical Center LLC Las Cruces, NM facility · fee schedule · outpatient	1	$3.8k	$3.8k	$80	2%	—	$3.7k – $3.8k
12	METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
13	MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
14	Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$277	$277	—	—	—	$277 – $277
15	Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient	1	$125	$125	—	—	—	$125 – $125
16	Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient	1	$122	$122	$3	3%	—	$118 – $125
17	Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient	1	$121	$121	—	—	—	$121 – $121
18	Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
19	Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
20	Northside Hospital, Inc. Cumming, GA fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
21	Northside Hospital, Inc. Duluth, GA fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
22	Northside Hospital, Inc. Canton, GA fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
23	PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
24	PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113
25	Porter Hospital LLC Valparaiso, IN facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127