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
Prescription drug,brand name
Low
$0
Average
$3.3k
Median
$447
High
$180.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 6619.7× 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
64 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $388 | $451 | $109 | 24% | — | $388 – $640 |
| 2 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 3 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 4 | $380 | $400 | $33 | 8% | — | $380 – $458 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 9 | $1.3k | $1.2k | $476 | 39% | — | $579 – $1.7k |
| 6 | CHIPPENHAM HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 3 | $870 | $777 | $131 | 17% | — | $592 – $870 |
| 7 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $180.0k | $180.0k | — | — | — | $180.0k – $180.0k |
| 9 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $25 | $25 | $2 | 9% | — | $22 – $27 |
| 11 | HCA HEALTHONE AURORA Aurora, CO percent of total billed charges · outpatientfrom % of charges | 9 | $1.3k | $1.2k | $476 | 39% | — | $579 – $1.7k |
| 12 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 8 | $858 | $790 | $319 | 40% | — | $409 – $1.1k |
| 13 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO percent of total billed charges · outpatientfrom % of charges | 8 | $1.0k | $927 | $397 | 43% | — | $378 – $1.3k |
| 14 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO percent of total billed charges · outpatientfrom % of charges | 8 | $1.1k | $980 | $415 | 42% | — | $418 – $1.4k |
| 15 | HCA HEALTHONE NORTHEAST ER THORNTON, CO percent of total billed charges · outpatientfrom % of charges | 8 | $1.1k | $980 | $415 | 42% | — | $418 – $1.4k |
| 16 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO percent of total billed charges · outpatientfrom % of charges | 9 | $841 | $987 | $366 | 37% | — | $549 – $1.4k |
| 17 | HCA HEALTHONE ROSE Denver, CO percent of total billed charges · outpatientfrom % of charges | 8 | $1.0k | $927 | $397 | 43% | — | $378 – $1.3k |
| 18 | HCA HEALTHONE SKY RIDGE Lone Tree, CO percent of total billed charges · outpatientfrom % of charges | 8 | $1.3k | $1.2k | $478 | 40% | — | $604 – $1.7k |
| 19 | HCA HEALTHONE SOUTH PARKER ER PARKER, CO percent of total billed charges · outpatientfrom % of charges | 8 | $1.3k | $1.2k | $478 | 40% | — | $604 – $1.7k |
| 20 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 8 | $858 | $790 | $319 | 40% | — | $409 – $1.1k |
| 21 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 8 | $858 | $790 | $319 | 40% | — | $409 – $1.1k |
| 22 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $885 | $885 | — | — | — | $885 – $885 |
| 23 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX percent of total billed charges · outpatientfrom % of charges | 1 | $885 | $885 | — | — | — | $885 – $885 |
| 24 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA percent of total billed charges · outpatientfrom % of charges | 3 | $870 | $777 | $131 | 17% | — | $592 – $870 |
| 25 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 4 | $367 | $400 | $56 | 14% | — | $367 – $497 |
← Payers reporting HCPCS S5001 · Snapshot 20261113T090226Z-3ce6c0b8