LANGUAGE SCREENING

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

HC ST SCREENING LANGUAGE

Cigna pricing summary

Low

Average

$98

Median

$63

High

$248

Cigna rate distribution

Filter by billing methodology

Filter by billing class

33 hospital rates

#		Plans
1	Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges	8	$96	$99	$20	21%	4–40	$55 – $160
2	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
3	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
4	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	2	$32	$32	—	—	—	$32 – $32
5	Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
6	Lowell General Hospital Lowell, MA per diem · both	1	$134	$134	—	—	—	$134 – $134
7	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$111	$111	—	—	—	$111 – $111
8	MELROSEWAKEFIELD HEALTHCARE Medford, MA per diem · both	1	$449	$449	—	—	—	$449 – $449
9	MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges	2	$89	$89	$27	30%	—	$63 – $116
10	Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
11	Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient	2	$8	$8	—	—	—	$8 – $8
12	Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
13	Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both	1	$38	$38	—	—	—	$38 – $38
14	Mercy Hospital Portland, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
15	Montefiore Medical Center Bronx, NY other · outpatient	2	$530	$530	$28	5%	—	$502 – $558
16	Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges	4	$164	$164	$17	11%	—	$147 – $182
17	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges	1	$110	$110	—	—	—	$110 – $110
18	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges	1	$190	$190	—	—	—	$190 – $190
19	Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
20	The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
21	Tufts Medical Center BOSTON, MA per diem · both	1	$238	$238	—	—	—	$238 – $238
22	Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges	1	$258	$258	—	—	—	$258 – $258
23	UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges	1	$190	$190	—	—	—	$190 – $190
24	Vanderbilt Bedford Hospital Shelbyville, TN other · both	1	$0	$0	—	—	—	$0 – $0
25	Vanderbilt Bedford Hospital Shelbyville, TN per diem · both	2	$277	$277	—	—	—	$277 – $277

Page 1 of 2

← Payers reporting HCPCS V5363 · Snapshot 20261111T120946Z-9134e7f7

HCPCS V5363