HCPCS T1004
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
Nsg aide service up to 15min
Low
$3
Average
$31
Median
$19
High
$206
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16 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 3 | $13 | $13 | $0 | 4% | — | $13 – $14 |
| 4 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $11 | $11 | $1 | 9% | — | $10 – $12 |
| 5 | HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA fee schedule · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 6 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 2 | $23 | $23 | $0 | 1% | — | $23 – $24 |
| 7 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Holyoke Medical Center Holyoke, MA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $7 | $7 | $0 | 3% | — | $7 – $7 |
| 9 | Holyoke Medical Center Holyoke, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 3 | $18 | $18 | $2 | 10% | — | $15 – $19 |
| 11 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 3 | $16 | $17 | $4 | 23% | — | $12 – $21 |
| 12 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA percent of total billed charges · bothfrom % of charges | 2 | $28 | $28 | $1 | 5% | — | $26 – $29 |
| 15 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 2 | $27 | $27 | $2 | 6% | — | $26 – $29 |
← Payers reporting HCPCS T1004 · Snapshot 20261113T090226Z-3ce6c0b8