CPT 0104A
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
$877
Average
$3.0k
Median
$4.0k
High
$4.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
6 payers; the 90th percentile is 4.3× 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 | UnitedHealthcare facility · per diem · outpatient · +1 other terms | 4 | $66 | $89 | $67 | 76% | — | $22 – $200 |
| 2 | Cigna facility · per diem · outpatient | 3 | $992 | $992 | $47 | 5% | — | $945 – $1.0k |
| 3 | Aetna per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 4 | Blue Cross Blue Shield per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 5 | Humana per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 6 | WellCare per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
← Hospitals reporting CPT 0104A · Snapshot 20261113T090226Z-3ce6c0b8