CPT 0058T
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
Fee Schedule
Low
$25
Average
$92
Median
$64
High
$323
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 5.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 27 | $37 | $52 | $33 | 63% | — | $16 – $152 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 17 | $24 | $32 | $16 | 51% | — | $16 – $68 |
| 3 | Anthem facility · case rate · outpatient · +1 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $38 |
| 4 | Caresource facility · case rate · outpatient | 15 | $23 | $25 | $6 | 23% | — | $15 – $39 |
| 5 | Optum facility · case rate · outpatient | 13 | $22 | $29 | $14 | 48% | — | $19 – $59 |
| 6 | Humana facility · case rate · outpatient | 8 | $62 | $65 | $3 | 5% | — | $62 – $68 |
| 7 | Aetna Better Health facility · case rate · outpatient | 7 | $75 | $75 | $1 | 2% | — | $72 – $79 |
| 8 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $68 | $69 | $2 | 3% | — | $68 – $75 |
| 9 | Aetna facility · case rate · outpatient · +1 other terms | 5 | $75 | $89 | $31 | 35% | — | $62 – $152 |
| 10 | Wellmark facility · case rate · outpatient | 3 | $257 | $226 | $71 | 32% | — | $105 – $284 |
← Hospitals reporting CPT 0058T · Snapshot 20261113T090226Z-3ce6c0b8