CPT 0364T
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
$27
Average
$100
Median
$92
High
$392
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 3.5× 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 | Anthem fee schedule · outpatient · +1 other terms | 17 | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Wellmark fee schedule · both · +1 other terms | 13 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Highmark fee schedule · outpatient · +2 other terms | 10 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Tricare fee schedule · outpatient | 10 | $121 | $121 | — | — | — | $121 – $121 |
| 5 | Bcbs Mn fee schedule · outpatient | 4 | $43 | $42 | $28 | 67% | — | $13 – $101 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient | 4 | $101 | $115 | $51 | 44% | — | $68 – $189 |
| 7 | Molina facility · case rate · outpatient · +2 other terms | 4 | $54 | $64 | $25 | 39% | — | $44 – $105 |
| 8 | Aetna fee schedule · outpatient · +2 other terms | 3 | $138 | $227 | $126 | 56% | — | $138 – $406 |
| 9 | Humana facility · case rate · outpatient · +1 other terms | 3 | $87 | $90 | $4 | 5% | — | $87 – $96 |
| 10 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $142 | $142 | — | — | — | $142 – $142 |
← Hospitals reporting CPT 0364T · Snapshot 20261113T090226Z-3ce6c0b8