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
HC Adc Daily Charge Restricted (Mdpl)
Low
$19
Average
$56
Median
$33
High
$134
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 6.5× 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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8 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 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $119 | $119 | $15 | 12% | — | $104 – $133 |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $103 | $72 | $47 | 64% | — | $4 – $114 |
| 4 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 5 | Memorial Hospital Miramar Miramar, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $19 | $3 | 18% | — | $14 – $22 |
| 6 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $19 | $3 | 18% | — | $14 – $22 |
| 7 | Memorial Hospital West Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $19 | $3 | 18% | — | $14 – $22 |
| 8 | Memorial Regional Hospital Hollywood, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $19 | $3 | 18% | — | $14 – $22 |
← Payers reporting HCPCS S5102 · Snapshot 20261111T120946Z-9134e7f7