Low
$78
Average
$137
Median
$78
High
$389
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 3.8× 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.
Filter by billing methodology
Filter by billing class
14 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 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 2 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 4 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 5 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 2 | $261 | $261 | $79 | 30% | — | $183 – $340 |
| 6 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 7 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $84 | $84 | — | — | — | $84 – $84 |
| 8 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 10 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 11 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 12 | The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 13 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $389 | $389 | — | — | — | $389 – $389 |
| 14 | University Medical Center Lubbock, TX fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
← Payers reporting HCPCS S3900 · Snapshot 20261112T181611Z-3fa9fb76