CPT 0177T
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
Aqu canal dilat w retent
Low
$58
Average
$11.9k
Median
$4.6k
High
$25.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 181.8× 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 Blue Cross Blue Shield 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 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 2 | $3.9k | $3.9k | $603 | 15% | — | $3.3k – $4.5k |
| 2 | El Paso Children's Hospital El Paso, TX case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Northbay Medical Center Vacaville, CA facility · fee schedule · outpatient | 1 | $874 | $874 | — | — | — | $874 – $874 |
| 4 | Northeast Georgia Medical Center Habersham, LLC Demorest, GA fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 5 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 6 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 7 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 8 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 9 | Northside Hospital, Inc. Cumming, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 10 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 1 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 11 | Northside Hospital, Inc. Duluth, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 12 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 13 | Northside Hospital, Inc. Canton, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 14 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 1 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 15 | WakeMed Cary Hospital Cary, NC professional · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 16 | Wakemed Raleigh Campus Raleigh, NC professional · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 17 | Wellstar Mcg Health, Affiliated With Med Col Augusta, GA facility · fee schedule · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
← Payers reporting CPT 0177T · Snapshot 20261113T090226Z-3ce6c0b8