CPT 0284T
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
PERIPH FIELD STIMUL REVISE
Low
$1.2k
Average
$4.2k
Median
$4.6k
High
$6.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 5.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 23 | $5.4k | $6.3k | $3.2k | 51% | — | $1.1k – $15.6k |
| 2 | Tricare fee schedule · outpatient | 10 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Humana facility · fee schedule · outpatient · +1 other terms | 9 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 4 | Oscar facility · fee schedule · outpatient | 8 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 5 | Aetna fee schedule · outpatient · +2 other terms | 5 | $6.1k | $6.1k | $2.8k | 47% | — | $2.2k – $11.2k |
| 6 | Molina fee schedule · both | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Cigna fee schedule · outpatient | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 8 | Medcost fee schedule · outpatient · +1 other terms | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 9 | UnitedHealthcare fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
← Hospitals reporting CPT 0284T · Snapshot 20261113T090226Z-3ce6c0b8