RC 344
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
NM I131 Sod Iod Ther Addtl Mci
Low
$1
Average
$11.4k
Median
$2.1k
High
$162.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
950 hospitals; the 90th percentile is 330.3× 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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1,388 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $254 | $215 | $99 | 46% | 200 | $44 – $337 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 181 | $5.5k – $5.5k |
| 3 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $298 | $7.6k | $18.8k | 247% | 151 | $63 – $74.6k |
| 4 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $298 | $7.6k | $18.8k | 247% | 151 | $63 – $74.6k |
| 5 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 5 | $2.0k | $7.8k | $10.5k | 135% | 148 | $89 – $27.3k |
| 6 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 140 | $1.9k – $1.9k |
| 7 | St. Lukes Hospital of Kansas City City, KS fee schedule · both | 5 | $357 | $326 | $116 | 36% | 75 | $89 – $439 |
| 8 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA percent of total billed charges · outpatientfrom % of charges | 2 | $55.2k | $62.4k | $49.3k | 79% | 54–270 | $2.5k – $161.0k |
| 9 | Saint Luke’s South Hospital, Inc Leawood, KS fee schedule · both | 5 | $145 | $134 | $23 | 17% | 50 | $89 – $145 |
| 10 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $2.3k | $1.3k | 58% | 40–202 | $633 – $5.0k |
| 11 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $583 | $994 | $1.6k | 157% | 33 | $299 – $7.0k |
| 12 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $274 | 23% | 10–100 | $649 – $1.6k |
| 13 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $349 | 30% | 9–90 | $620 – $1.8k |
| 14 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $408 | 31% | 8–80 | $542 – $2.1k |
| 15 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.1k | $264 | 24% | 7–70 | $680 – $1.5k |
| 16 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.3k | $167 | 13% | 6–60 | $1.1k – $1.6k |
| 17 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.5k | $656 | 44% | 6–60 | $649 – $2.8k |
| 18 | The Presbyterian Hospital Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $294 | 25% | 6–60 | $649 – $1.6k |
| 19 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $255 | $271 | $161 | 59% | 4–40 | $25 – $538 |
| 20 | Novant Health Rowan Medical Center LLC Salisbury, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.4k | $214 | 16% | 3–30 | $1.1k – $1.6k |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA percent of total billed charges · outpatientfrom % of charges | 1 | $558 | $558 | $173 | 31% | 2–20 | $385 – $730 |
| 22 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $897 | $897 | — | — | 2–20 | $897 – $897 |
| 23 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $220 | $111 | 51% | 2–20 | $18 – $384 |
| 24 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 2–20 | $1.9k – $1.9k |
| 25 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $358 | $358 | — | — | 1–10 | $358 – $358 |
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