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
$1
Average
$21
Median
$9
High
$268
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 36.5× 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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84 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Boulder Community Health Lafayette, CO professional · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $1 | 2% | — | $30 – $31 |
| 8 | Capital Health System Inc Trenton, NJ percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $79 | $98 | 125% | — | $9 – $218 |
| 9 | Capital Health System Inc Trenton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $38 | $67 | 176% | — | $1 – $218 |
| 10 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $79 | $98 | 125% | — | $9 – $218 |
| 11 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $38 | $67 | 176% | — | $1 – $218 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 2 | $15 | $19 | $10 | 55% | — | $6 – $36 |
| 16 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 17 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 18 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $4 | $4 | $0 | 9% | — | $3 – $4 |
| 20 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3 | $3 | $0 | 14% | — | $3 – $4 |
| 22 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $12 | $1 | 11% | — | $11 – $14 |
| 23 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $44 | $32 | 71% | — | $7 – $114 |
| 24 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 3 | $24 | $33 | $30 | 92% | — | $5 – $110 |
| 25 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 3 | $22 | $23 | $5 | 21% | — | $16 – $33 |
← Payers reporting HCPCS S0077 · Snapshot 20261112T181611Z-3fa9fb76