CIGNA-HEALTHSPRING
What does CIGNA-HEALTHSPRING actually pay hospitals? We analyzed 781 negotiated rates from 7 hospitals across 2 states.
Is CIGNA-HEALTHSPRING Expensive or Cheap?
Based on our analysis of 781 negotiated rates, CIGNA-HEALTHSPRING is significantly more expensive than average compared to other insurance companies in our database. They pay roughly 1.2x what Medicare pays for equivalent services.
Top Procedures with Negotiated Rates
Procedures where CIGNA-HEALTHSPRING has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | VENIPUNCTURE | 20 | $9 | $9 | $9 |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | 20 | $6,198 | $5,717 | $6,617 |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | 20 | $8,862 | $8,312 | $9,166 |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | 20 | $44,037 | $42,232 | $49,031 |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | 20 | $161,278 | $153,862 | $185,523 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 19 | $10,652 | $10,095 | $11,107 |
| 97530 | Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 17 | $32 | $31 | $35 |
| 97162 | Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | 17 | $90 | $86 | $98 |
| 85025 | CBC W/DIFFERENTIAL | 15 | $8 | $8 | $8 |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC IPF | 15 | $6,137 | $1,003 | $8,861 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | 15 | $7,698 | $7,280 | $7,993 |
| 292 | HEART FAILURE AND SHOCK WITH CC | 15 | $8,292 | $7,802 | $8,661 |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | 15 | $8,197 | $7,918 | $8,335 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 15 | $10,228 | $9,708 | $10,798 |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 15 | $10,362 | $9,843 | $10,956 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 15 | $11,552 | $11,005 | $12,314 |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | 15 | $12,425 | $11,892 | $13,352 |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 15 | $17,014 | $16,362 | $18,577 |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | 15 | $20,832 | $19,419 | $23,099 |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 15 | $23,723 | $23,001 | $26,339 |
| 471 | CERVICAL SPINAL FUSION WITH MCC | 15 | $38,556 | $36,772 | $42,995 |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | 15 | $86,099 | $80,306 | $99,524 |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | 15 | $211,406 | $201,454 | $244,622 |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 14 | $21,945 | $21,142 | $24,144 |
| 97140 | Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes | 12 | $26 | $25 | $29 |
Hospitals with CIGNA-HEALTHSPRING Rates
Hospitals where we have negotiated rate data for CIGNA-HEALTHSPRING
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| St. Luke's Sugar Land Hospital | TX | 202 | 101 | $10,197 | $8 - $209,997 |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER | TX | 155 | 31 | $23,770 | $8 - $207,981 |
| HCA HOUSTON HEALTHCARE TOMBALL | TX | 135 | 27 | $26,376 | $8 - $204,919 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 105 | 21 | $17,087 | $9 - $162,927 |
| CHI St. Luke's Health Brazosport | TX | 101 | 101 | $10,040 | $8 - $201,454 |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 44 | 44 | $23,172 | $8 - $244,622 |
| HCA HEALTHONE AURORA | CO | 39 | 39 | $24,310 | $8 - $242,594 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.