CPT 00904
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 radical perineal px
Low
$1
Average
$223
Median
$88
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 30.4× 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 | 29 | $38 | $1.2k | $1.5k | 129% | — | $15 – $8.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 24 | $92 | $180 | $298 | 166% | — | $0 – $1.2k |
| 3 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 20 | $29 | $69 | $82 | 119% | — | $4 – $499 |
| 4 | Cigna fee schedule · outpatient · +4 other terms | 12 | $602 | $274 | $450 | 164% | — | $21 – $1.2k |
| 5 | Tricare fee schedule · outpatient · +2 other terms | 11 | $967 | $386 | $444 | 115% | — | $20 – $1.0k |
| 6 | WellCare fee schedule · outpatient · +3 other terms | 11 | $1.2k | $802 | $597 | 74% | — | $20 – $1.3k |
| 7 | Anthem fee schedule · outpatient · +3 other terms | 10 | $1.2k | $1.0k | $404 | 40% | — | $29 – $1.2k |
| 8 | Medicaid fee schedule · outpatient · +1 other terms | 10 | $604 | $604 | — | — | — | $604 – $604 |
| 9 | Molina fee schedule · outpatient · +4 other terms | 10 | $17 | $53 | $47 | 89% | — | $16 – $120 |
| 10 | Humana fee schedule · inpatient · +5 other terms | 9 | $20 | $21 | $0 | 1% | — | $20 – $21 |
← Hospitals reporting CPT 00904 · Snapshot 20261113T090226Z-3ce6c0b8