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
Home environment assessment
Low
$21
Average
$120
Median
$127
High
$172
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 6.0× 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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21 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 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 3 | $21 | $21 | $1 | 4% | — | $21 – $23 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN percent of total billed charges · bothfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 3 | $131 | $131 | — | — | — | $131 – $131 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN percent of total billed charges · bothfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 2 | $127 | $127 | $3 | 2% | — | $124 – $130 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN percent of total billed charges · bothfrom % of charges | 2 | $127 | $127 | $3 | 2% | — | $124 – $130 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 8 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | $11 | 8% | — | $135 – $158 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 3 | $30 | $29 | $3 | 10% | — | $25 – $32 |
| 10 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 3 | $26 | $27 | $6 | 23% | — | $20 – $35 |
| 11 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 12 | Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 13 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 14 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 15 | Munson Medical Center Traverse City, MI facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 16 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $172 | $172 | — | — | — | $172 – $172 |
| 17 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 22 | $172 | $172 | — | — | — | $172 – $172 |
| 18 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 22 | $172 | $172 | — | — | — | $172 – $172 |
| 19 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $172 | $172 | — | — | — | $172 – $172 |
| 20 | NYU Langone Hospital?Suffolk Patchogue, NY percent of total billed charges · bothfrom % of charges | 22 | $172 | $172 | — | — | — | $172 – $172 |
| 21 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 2 | $45 | $45 | $3 | 6% | — | $42 – $48 |
← Payers reporting HCPCS T1028 · Snapshot 20261112T181611Z-3fa9fb76