CPT 00864
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
Anes xtrprt lwr abd tot cstc
Low
$1
Average
$136
Median
$75
High
$570
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 22.7× 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 | Aetna fee schedule · outpatient · +5 other terms | 22 | $38 | $1.0k | $2.2k | 214% | — | $15 – $8.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 20 | $29 | $72 | $94 | 131% | — | $4 – $570 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 18 | $84 | $98 | $77 | 78% | — | $0 – $626 |
| 4 | Cigna fee schedule · outpatient · +4 other terms | 13 | $2.5k | $265 | $692 | 261% | — | $21 – $2.5k |
| 5 | Medicaid fee schedule · outpatient · +1 other terms | 10 | $626 | $626 | — | — | — | $626 – $626 |
| 6 | Molina fee schedule · outpatient · +3 other terms | 10 | $17 | $58 | $54 | 94% | — | $16 – $137 |
| 7 | Humana fee schedule · inpatient · +5 other terms | 9 | $20 | $21 | $0 | 1% | — | $20 – $21 |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 9 | $79 | $88 | $80 | 91% | — | $20 – $626 |
| 9 | Oscar fee schedule · inpatient · +1 other terms | 9 | $102 | $80 | $30 | 37% | — | $40 – $102 |
| 10 | WellCare fee schedule · inpatient · +3 other terms | 9 | $20 | $21 | $3 | 15% | — | $20 – $35 |
← Hospitals reporting CPT 00864 · Snapshot 20261113T090226Z-3ce6c0b8