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
Serv asmnt/care plan waiver
Low
$29
Average
$41
Median
$37
High
$60
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4 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 | $28 | $29 | $1 | 4% | — | $28 – $30 |
| 2 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 3 | $40 | $39 | $4 | 10% | — | $33 – $42 |
| 3 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 3 | $35 | $36 | $8 | 23% | — | $27 – $47 |
| 4 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 2 | $60 | $60 | $4 | 6% | — | $56 – $64 |
← Payers reporting HCPCS T2024 · Snapshot 20261113T090226Z-3ce6c0b8