CPT 0387T
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
HC Trans Ins/Repl Perm Ldles Pace
Low
$440
Average
$8.6k
Median
$8.3k
High
$21.7k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 27.3× 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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19 hospital rates
iThe hospitals that file a Anthem 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 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 4 | $361 | $405 | $79 | 20% | — | $355 – $542 |
| 2 | Dukes Health System LLC Peru, IN facility · other · outpatient | 1 | $578 | $578 | — | — | — | $578 – $578 |
| 3 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $670 | $670 | — | — | — | $670 – $670 |
| 5 | Memorial Hospital of Boscobel Boscobel, WI facility · fee schedule · outpatient | 1 | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 6 | Montefiore Medical Center Bronx, NY case rate · outpatient | 7 | $11.3k | $11.7k | $1.1k | 9% | — | $10.1k – $12.9k |
| 7 | Montefiore Medical Center Bronx, NY other · outpatient | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 8 | Montefiore Mount Vernon Hospital Mount Vernon, NY case rate · outpatient | 8 | $8.0k | $8.4k | $2.2k | 27% | — | $5.1k – $13.4k |
| 9 | Montefiore New Rochelle Hospital New Rochelle, NY case rate · outpatient | 8 | $7.9k | $8.3k | $2.0k | 24% | — | $5.6k – $12.9k |
| 10 | Moundview Memorial Hospital and Clinics, Inc. Friendship, WI facility · fee schedule · outpatient | 1 | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 11 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | St Joseph’s Health Services Inc Hillsboro, WI facility · fee schedule · outpatient | 1 | $19.8k | $19.8k | — | — | — | $19.8k – $19.8k |
| 13 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $655 | $655 | — | — | — | $655 – $655 |
| 14 | Tri-County Memorial Hospital Inc Whitehall, WI facility · fee schedule · outpatient | 1 | $17.0k | $17.0k | — | — | — | $17.0k – $17.0k |
| 15 | University Hospitals Health System Chardon, OH facility · case rate · outpatient | 2 | $9.0k | $9.0k | $475 | 5% | — | $8.5k – $9.5k |
| 16 | University Hospitals Health System Ravenna, OH facility · case rate · outpatient | 1 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 17 | University Hospitals Health System Parma, OH facility · case rate · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 18 | University Hospitals Health System Westlake, OH facility · case rate · outpatient | 1 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 19 | University Hospitals Health System Beachwood, OH facility · case rate · outpatient | 2 | $8.6k | $8.6k | $453 | 5% | — | $8.2k – $9.1k |
← Payers reporting CPT 0387T · Snapshot 20261113T090226Z-3ce6c0b8