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
Not medically necessary svc
Low
$1
Average
$329
Median
$232
High
$1.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 250.9× 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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63 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 facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $129 | $129 | $7 | 6% | — | $122 – $136 |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 3 | $4 | $4 | $0 | 4% | — | $4 – $4 |
| 8 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $274 | $274 | $111 | 40% | — | $163 – $385 |
| 9 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $132 | $132 | $8 | 6% | — | $124 – $140 |
| 10 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $132 | $132 | $8 | 6% | — | $124 – $140 |
| 11 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 3 | $6 | $5 | $1 | 10% | — | $5 – $6 |
| 14 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $132 | $132 | $8 | 6% | — | $124 – $140 |
| 15 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $132 | $132 | $8 | 6% | — | $124 – $140 |
| 16 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $153 | $224 | $114 | 51% | — | $135 – $385 |
| 17 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $153 | $224 | $114 | 51% | — | $135 – $385 |
| 18 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 3 | $5 | $5 | $1 | 23% | — | $4 – $7 |
| 19 | Maine Coast Regional Health Facilities Ellsworth, ME facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 22 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $847 | $1.9k | $2.6k | 139% | — | $88 – $9.5k |
| 23 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $792 | $950 | $756 | 79% | — | $35 – $2.7k |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $543 | $543 | $162 | 30% | — | $381 – $706 |
| 25 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $590 | $628 | $220 | 35% | — | $381 – $950 |
← Payers reporting HCPCS S9986 · Snapshot 20261113T090226Z-3ce6c0b8