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
CYGNUS PER SQ CM LVL 1
Duluth, GA
See all hospitals reporting HCPCS Q4170 →Price type
Northside Hospital, Inc.’s median price of $194 is 8% above the median hospital's median price ($181), higher than 53% of the 1,020 hospitals reporting HCPCS Q4170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 65 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Caresource caresource other · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Cigna cigna healthsprings medicare advantage other · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Blue Cross Blue Shield bcbs_pathway other · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Blue Cross Blue Shield bcbs_pathway-l other · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Blue Cross Blue Shield blue hpn other · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Blue Cross Blue Shield blue hpn-l other · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Blue Cross Blue Shield bcbs_hmo other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 8 | Blue Cross Blue Shield bcbs_hmo-l other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 9 | Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 10 | Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 11 | UnitedHealthcare uhc ga individual exchange fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 12 | UnitedHealthcare uhc heritage select fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 13 | UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 14 | UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 15 | UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 16 | Tricare tricare fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 17 | Aetna aetna hmo/pos/ppo fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 18 | Aetna aetna hmo/pos/ppo-g fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 19 | Aetna aetna hmo/pos/ppo-q fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 20 | Blue Cross Blue Shield bcbs_ppo other · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 21 | Blue Cross Blue Shield bcbs_ppo-l other · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 22 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 23 | Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 24 | Oscar oscar percent of total billed charges · inpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 25 | Oscar oscar percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
Last updated: Feb 14, 2026
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