RC 490
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
HC Cns Resevoir Tap
Low
$0
Average
$6.0k
Median
$3.8k
High
$55.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
577 hospitals; the 90th percentile is 39.8× 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.
Filter by billing methodology
Filter by billing class
819 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 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $6.5k | $7.0k | $3.0k | 43% | 2,040–3,750 | $2.6k – $14.8k |
| 2 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $6.5k | $7.0k | $3.0k | 43% | 2,040–3,750 | $2.6k – $14.8k |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $652 | $1.5k | $2.1k | 138% | 506–2,036 | $0 – $24k |
| 4 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $3.6k | $4.6k | 126% | 427–3,208 | $71 – $41.4k |
| 5 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 1 | $5.9k | $6.3k | $2.8k | 44% | 407–1,154 | $2.4k – $13.3k |
| 6 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 1 | $5.9k | $6.3k | $2.8k | 44% | 407–1,154 | $2.4k – $13.3k |
| 7 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $2.6k | $3.3k | 125% | 320–2,597 | $1 – $33.8k |
| 8 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $8.0k | $7.8k | 97% | 319–2,497 | $6 – $43.7k |
| 9 | CATHOLIC MEDICAL CENTER MANCHESTER, NH percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $3.3k | $5.2k | 160% | 274–1,570 | $58 – $59.1k |
| 10 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $8.7k | $8.1k | $3.2k | 40% | 270–900 | $3.5k – $16.3k |
| 11 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $4.4k | $5.4k | 123% | 206–1,511 | $72 – $33.5k |
| 12 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $3.7k | $3.4k | 93% | 193–1,822 | $1 – $14.1k |
| 13 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $2.4k | $1.8k | 74% | 175–1,381 | $643 – $8.8k |
| 14 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $3.4k | $3.7k | 111% | 172–1,198 | $139 – $25.6k |
| 15 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $3.7k | $4.0k | 106% | 158–860 | $72 – $24.6k |
| 16 | LEWISGALE MEDICAL CENTER ROANOKE, VA percent of total billed charges · outpatientfrom % of charges | 2 | $5.5k | $7.4k | $7.5k | 102% | 132–1,320 | $0 – $42.7k |
| 17 | LEWISGALE HOSPITAL PULASKI PULASKI, VA percent of total billed charges · outpatientfrom % of charges | 2 | $4.3k | $6.9k | $6.3k | 92% | 130–562 | $46 – $22.8k |
| 18 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 5 | $3.4k | $3.8k | $1.7k | 44% | 122–410 | $591 – $8.7k |
| 19 | The Presbyterian Hospital Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $4.3k | $5.9k | 135% | 98–980 | $1 – $31.1k |
| 20 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $7.6k | $10.0k | $10.1k | 102% | 84–579 | $0 – $64.8k |
| 21 | Novant Health Rowan Medical Center LLC Salisbury, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $3.4k | $4.0k | 119% | 83–830 | $180 – $22.9k |
| 22 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $5.9k | $7.9k | $6.6k | 84% | 81–684 | $615 – $25.0k |
| 23 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $569 | $487 | $264 | 54% | 53–296 | $43 – $1.2k |
| 24 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 5 | $3.4k | $3.8k | $1.7k | 44% | 48–372 | $591 – $8.7k |
| 25 | University of Virginia Culpeper Medical Center Culpeper, VA fee schedule · both | 4 | $1.4k | $1.6k | $689 | 43% | 37–154 | $901 – $4.1k |
← Payers reporting RC 490 · Snapshot 20261111T120946Z-9134e7f7