Image-guided orthopedic surgery navigation add-on

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BONE SRGRY CMPTR FLUOR IMAGE

Payers reporting CPT 0054T

50 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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#
1	UnitedHealthcare case rate · outpatient · +18 other terms	339	$1,679	$1,707	$1.00 – $22,403
2	Aetna case rate · outpatient · +18 other terms	192	$2,255	$3,668	$442.00 – $26,474
3	Oscar case rate · outpatient · +10 other terms	116	$2,576	$2,540	$990.00 – $7,454
4	Humana fee schedule · outpatient · +13 other terms	53	$1,166	$1,199	$159.68 – $8,334
5	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	33	$747.09	$2,489	$0.02 – $15,614
6	Anthem case rate · outpatient · +12 other terms	24	$1,357	$5,282	$1,183 – $23,508
7	Cigna case rate · outpatient · +16 other terms	21	$6,749	$8,996	$2,100 – $14,930
8	Molina case rate · outpatient · +9 other terms	21	$1,825	$1,765	$1,586 – $1,825
9	Bcbs La fee schedule · outpatient · +1 other terms	19	$1,235	$1,198	$0.02 – $1,703
10	Caresource facility · case rate · outpatient · +5 other terms	15	$80.12	$86.03	$53.49 – $135.91
11	WellCare professional · fee schedule · outpatient · +5 other terms	14	$151.13	$152.12	$129.39 – $166.68
12	Wellmark fee schedule · both · +3 other terms	13	$146.57	$146.57	$146.57 – $146.57
13	Ambetter fee schedule · both · +3 other terms	12	$143.70	$26.78	$0.01 – $238.81
14	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$76.44	$48.81	$0.01 – $95.64
15	Cigna Healthspring fee schedule · both	12	$129.69	$130.23	$129.69 – $136.17
16	Highmark fee schedule · outpatient · +6 other terms	12	$196.64	$196.18	$138.47 – $203.67
17	Optum facility · case rate · outpatient · +6 other terms	11	$74.12	$81.44	$66.87 – $120.67
18	Amerihealth Caritas case rate · outpatient · +2 other terms	10	$3,251	$3,193	$3,057 – $3,251
19	MultiPlan fee schedule · both · +10 other terms	10	$285.63	$286.30	$273.48 – $304.51
20	Medica fee schedule · both · +10 other terms	9	$278.53	$274.20	$164.59 – $340.90
21	Ucare fee schedule · both · +4 other terms	9	$314.14	$323.27	$156.61 – $403.13
22	Sanford Health Plan fee schedule · both · +2 other terms	8	$145.01	$145.01	$145.01 – $145.01
23	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$164.47	$164.47	$164.47 – $164.47
24	Tricare other · outpatient	7	$14,930	$14,894	$14,465 – $14,930
25	First Health fee schedule · outpatient · +10 other terms	6	$7,246	$6,425	$2,321 – $7,246

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