RC 622
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
WIRE DOC 22260 ACS
Low
$6
Average
$370
Median
$14
High
$3.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 198.8× 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.
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41 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $1.5k | $1.9k | $1.0k | 53% | 1–10 | $766 – $3.3k |
| 2 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Baptist Memorial Hospital-Union City Union City, TN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $2 | 38% | — | $4 – $9 |
| 7 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $75 | $75 | $62 | 82% | — | $14 – $137 |
| 8 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $62 | 82% | — | $14 – $137 |
| 9 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $75 | $75 | $62 | 82% | — | $14 – $137 |
| 10 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $62 | 82% | — | $14 – $137 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $52 | $55 | $36 | 66% | — | $4 – $109 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $52 | $55 | $36 | 66% | — | $4 – $109 |
| 13 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $1 | 17% | — | $6 – $8 |
| 14 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $3.3k | $3.0k | $402 | 13% | — | $2.4k – $3.3k |
| 15 | HERITAGE VALLEY BEAVER BEAVER, PA percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | $404 | 23% | — | $1.3k – $2.1k |
| 16 | HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | $404 | 23% | — | $1.3k – $2.1k |
| 17 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 7 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 7 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 6 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 7 | $14 | $14 | — | — | — | $14 – $14 |
| 21 | Indiana University Health Frankfort Inc. Frankfort, IN fee schedule · outpatient | 6 | $14 | $14 | — | — | — | $14 – $14 |
| 22 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 7 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | Indiana University Health Jay Inc. Portland, IN fee schedule · outpatient | 7 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 7 | $14 | $14 | — | — | — | $14 – $14 |
| 25 | Indiana University Health Paoli Inc. Paoli, IN fee schedule · outpatient | 6 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting RC 622 · Snapshot 20261111T120946Z-9134e7f7