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
$3
Average
$190
Median
$35
High
$8.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 12.6× 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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82 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 | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $119 | $113 | $36 | 32% | — | $66 – $153 |
| 3 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $113 | $36 | 32% | — | $66 – $153 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 6 | $128 | $128 | — | — | — | $128 – $128 |
| 7 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $18 | $18 | $2 | 9% | — | $16 – $19 |
| 9 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 10 | Geisinger Community Medical Center Scranton, PA percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Geisinger Jersey Shore Hospital Jersey Shore, PA percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 12 | Geisinger Lewistown Hospital Lewistown, PA case rate · inpatient | 1 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 13 | Geisinger Lewistown Hospital Lewistown, PA percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Geisinger Medical Center Muncy, PA percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 15 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 16 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $54 | $17 | 31% | — | $33 – $79 |
| 17 | HERITAGE VALLEY BEAVER BEAVER, PA percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 19 | HMH HOSPITALS CORPORATION Edison, NJ facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | HMH HOSPITALS CORPORATION Brick, NJ facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 21 | HMH HOSPITALS CORPORATION Edison, NJ facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT professional · fee schedule · outpatient | 4 | $21 | $21 | — | — | — | $21 – $21 |
| 23 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 7 | $28 | $27 | $4 | 15% | — | $17 – $29 |
| 24 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 7 | $24 | $24 | $1 | 6% | — | $20 – $25 |
| 25 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 7 | $35 | $35 | $0 | 1% | — | $35 – $35 |
← Payers reporting HCPCS S0073 · Snapshot 20261112T181611Z-3fa9fb76