CPT 0396U
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
Ob preimpltj tst 300000 dna
Low
$0
Average
$129
Median
$54
High
$762
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 39 | $327 | $478 | $188 | 39% | — | $171 – $705 |
| 2 | Molina facility · case rate · outpatient · +2 other terms | 26 | $71 | $58 | $31 | 52% | — | $23 – $129 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 16 | $77 | $80 | $24 | 30% | — | $23 – $131 |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $76 | $83 | $20 | 23% | — | $52 – $129 |
| 5 | Caresource facility · case rate · outpatient | 15 | $77 | $83 | $19 | 23% | — | $52 – $131 |
| 6 | Optum facility · case rate · outpatient | 13 | $69 | $70 | $26 | 37% | — | $22 – $117 |
| 7 | Aetna Better Health facility · case rate · outpatient | 6 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Aetna facility · case rate · outpatient · +2 other terms | 5 | $28 | $32 | $9 | 29% | — | $23 – $51 |
| 10 | Humana facility · case rate · outpatient · +1 other terms | 5 | $23 | $24 | $1 | 5% | — | $23 – $26 |
← Hospitals reporting CPT 0396U · Snapshot 20261113T090226Z-3ce6c0b8