CPT 0415U
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
Cv ds acs bld alg 5 yr score
Low
$23
Average
$383
Median
$391
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 41 | $76 | $206 | $231 | 112% | — | $23 – $801 |
| 2 | Aetna case rate · outpatient · +1 other terms | 38 | $399 | $371 | $92 | 25% | — | $52 – $404 |
| 3 | UnitedHealthcare case rate · outpatient · +1 other terms | 38 | $402 | $376 | $101 | 27% | — | $41 – $442 |
| 4 | Humana case rate · outpatient · +1 other terms | 26 | $406 | $402 | $9 | 2% | — | $391 – $410 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 22 | $87 | $268 | $267 | 100% | — | $52 – $782 |
| 6 | Anthem facility · case rate · outpatient · +1 other terms | 20 | $83 | $288 | $423 | 147% | — | $52 – $1.6k |
| 7 | Optum facility · case rate · outpatient | 14 | $70 | $113 | $113 | 100% | — | $22 – $399 |
| 8 | WellCare case rate · outpatient · +1 other terms | 14 | $395 | $405 | $15 | 4% | — | $391 – $430 |
| 9 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 13 | $391 | $376 | $16 | 4% | — | $359 – $391 |
| 10 | Ambetter case rate · outpatient · +1 other terms | 12 | $567 | $583 | $25 | 4% | — | $567 – $625 |
← Hospitals reporting CPT 0415U · Snapshot 20261113T090226Z-3ce6c0b8