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.
Generation details were not recorded for this description.
Original text from hospital filings
Parenting class
Low
$17
Average
$46
Median
$25
High
$185
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 4.7× 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.
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28 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Holy Redeemer Health System Meadowbrook, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 8 | John H. Stroger, Jr. Hospital Chicago, IL fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $2 | 6% | — | $25 – $29 |
| 11 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 13 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 14 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Munson Medical Center Traverse City, MI facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Nationwide Children's Hospital Columbus, OH facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Penn State Health Hampden Medical Center Enola, PA percent of total billed charges · bothfrom % of charges | 1 | $18 | $21 | $4 | 20% | — | $18 – $28 |
| 18 | Penn State Health Holy Spirit Medical Center Camp Hill, PA percent of total billed charges · bothfrom % of charges | 1 | $14 | $17 | $3 | 20% | — | $14 – $21 |
| 19 | Penn State Health Lancaster Medical Center Lancaster, PA percent of total billed charges · bothfrom % of charges | 1 | $18 | $21 | $4 | 20% | — | $18 – $28 |
| 20 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $19 | $22 | $5 | 20% | — | $19 – $29 |
| 21 | Stonewall Memorial Hospital Aspermont, TX percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 22 | Stonewall Memorial Hospital Aspermont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 23 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $26 | $5 | 20% | — | $19 – $30 |
| 24 | UPMC Horizon - Greenville Farrell, PA facility · percent of total billed charges · inpatientfrom % of charges | 4 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | UPMC Horizon - Greenville Farrell, PA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $35 | $35 | $0 | 1% | — | $34 – $35 |
← Payers reporting HCPCS S9444 · Snapshot 20261112T181611Z-3fa9fb76