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
Rx test prsmv ur w/def conf
The hospitals that file a Medicaid 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.
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7 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $97.25 | $97.25 – $97.25 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $34.78 | $34.78 – $34.78 |
| 3 | Henry Ford Health Novi, MI other · outpatient | 1 | $66.37 | $66.37 – $66.37 |
| 4 | Henry Ford Health Twp, MI other · outpatient | 1 | $66.37 | $66.37 – $66.37 |
| 5 | Henry Ford Health Southfield, MI other · outpatient | 1 | $66.37 | $66.37 – $66.37 |
| 6 | Henry Ford Health Rochester, MI other · outpatient | 1 | $61.79 | $61.79 – $61.79 |
| 7 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $34.78 | $34.78 – $34.78 |
← Payers reporting CPT 0007U · Snapshot 20261108T203506Z-bb90dbab