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
TRIAGE ONLY
Low
$1
Average
$185
Median
$157
High
$1.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 10.0× 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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80 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 professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $47 | $3 | 6% | — | $44 – $49 |
| 3 | Brandon HMA LLC Brandon, MS facility · per diem · outpatient | 1 | $1k | $1k | — | — | — | $1k – $1k |
| 4 | Brandon HMA LLC Brandon, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 5 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 6 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 7 | Carlsbad Medical Center LLC Carlsbad, NM facility · percent of total billed charges · outpatientfrom % of charges | 2 | $228 | $228 | $22 | 9% | — | $207 – $250 |
| 8 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 9 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 10 | Crestview Hospital Corporation Crestview, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 11 | Crestview Hospital Corporation Crestview, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 12 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $90 | $90 | $36 | 40% | — | $53 – $126 |
| 13 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $109 | $109 | $6 | 6% | — | $103 – $116 |
| 14 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $109 | $109 | $6 | 6% | — | $103 – $116 |
| 15 | Durant HMA LLC Durant, OK facility · percent of total billed charges · inpatientfrom % of charges | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 16 | Durant HMA LLC Durant, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 17 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 18 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 19 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 20 | Granbury Hospital Corporation Granbury, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 21 | Granbury Hospital Corporation Granbury, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $108 | $23 | 22% | — | $85 – $131 |
| 22 | HMA Santa Rosa Medical Center LLC Milton, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 23 | HMA Santa Rosa Medical Center LLC Milton, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 24 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $40 | $40 | $2 | 6% | — | $37 – $42 |
| 25 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | $2 | 6% | — | $37 – $42 |
← Payers reporting HCPCS T5999 · Snapshot 20261111T120946Z-9134e7f7