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
Cygnus solo per sq cm
Low
$129
Average
$197
Median
$198
High
$254
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 1.8× 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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24 hospital rates
iThe hospitals that file a Caresource 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 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $179 | $179 | $58 | 32% | — | $121 – $238 |
| 3 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 4 | Greenfield Area Medical Center Greenfield, OH facility · case rate · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 5 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 6 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 7 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 8 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 9 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 10 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 11 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 3 | $127 | $129 | $3 | 2% | — | $127 – $134 |
| 12 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 13 | Parkview Dekalb Hospital Auburn, IN facility · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 14 | Parkview Noble Hospital Kendallville, IN facility · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 15 | Parkview Ortho Hospital Fort Wayne, IN facility · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 16 | Pike Health Services Inc Waverly, OH facility · case rate · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 17 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 18 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 19 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 20 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 21 | University Hospitals Health System Concord Township, OH facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 22 | University Hospitals Health System Parma, OH facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 23 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 24 | University Hospitals Health System Elyria, OH facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
← Payers reporting HCPCS Q4413 · Snapshot 20261113T090226Z-3ce6c0b8