CPT 0402U
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
Nfct agt sti mult amp prb tq
Low
$32
Average
$261
Median
$279
High
$418
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 4.8× 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 | Aetna facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $222 | $206 | $124 | 60% | — | $32 – $315 |
| 2 | Cigna facility · percent of total billed charges · outpatientfrom % of charges | 2 | $330 | $325 | $13 | 4% | — | $316 – $344 |
| 3 | First Health facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $329 | $329 | $14 | 4% | — | $315 – $342 |
| 4 | Tricare percent of total billed charges · outpatientfrom % of charges | 2 | $153 | $153 | $53 | 35% | — | $100 – $206 |
| 5 | Blue Cross Blue Shield facility · percent of total billed charges · outpatientfrom % of charges | 1 | $351 | $351 | $117 | 33% | — | $234 – $467 |
| 6 | Humana facility · percent of total billed charges · outpatientfrom % of charges | 1 | $418 | $418 | — | — | — | $418 – $418 |
| 7 | Kaiser facility · percent of total billed charges · outpatientfrom % of charges | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 8 | Medicaid facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Molina facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 10 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges | 1 | $394 | $394 | — | — | — | $394 – $394 |
← Hospitals reporting CPT 0402U · Snapshot 20261113T090226Z-3ce6c0b8