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
$203
Average
$517
Median
$582
High
$582
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 1.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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17 hospital rates
iThe hospitals that file a Oscar rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Baptist Memorial Hospital-Carroll County Huntingdon, TN facility · case rate · outpatient | 1 | $904 | $904 | — | — | — | $904 – $904 |
| 2 | Baptist Memorial Hospital-Carroll County Huntingdon, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Baptist Memorial Hospital-Collierville Collierville, TN facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 7 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Baptist Memorial Hospital-Memphis Memphis, TN facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 11 | Baptist Memorial Hospital-Tipton Covington, TN facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Baptist Memorial Hospital-Tipton Covington, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 13 | Baptist Memorial Hospital-Union City Union City, TN facility · case rate · outpatient | 1 | $904 | $904 | — | — | — | $904 – $904 |
| 14 | Baptist Memorial Hospital-Union City Union City, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Baptist Memorial Hospital-Women's Memphis, TN facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 17 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 2 | $203 | $203 | — | — | — | $203 – $203 |
← Payers reporting CPT 0104A · Snapshot 20261113T090226Z-3ce6c0b8