CPT 0454T
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
$1
Average
$15.5k
Median
$11.2k
High
$67.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 7852.6× 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 | Aetna case rate · outpatient · +5 other terms | 35 | $10.9k | $10.8k | $7.5k | 70% | — | $3.3k – $47.5k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 35 | $14.2k | $17.5k | $8.3k | 47% | — | $2.5k – $42.2k |
| 3 | Molina facility · case rate · outpatient · +4 other terms | 27 | $58.1k | $47.0k | $24.5k | 52% | — | $19.4k – $104.8k |
| 4 | Anthem fee schedule · outpatient · +5 other terms | 21 | $185 | $1.4k | $7.0k | 509% | — | $185 – $42.9k |
| 5 | UnitedHealthcare facility · case rate · outpatient · +8 other terms | 19 | $59.9k | $55.1k | $27.2k | 49% | — | $6.4k – $106.8k |
| 6 | Caresource facility · case rate · outpatient | 15 | $62.9k | $67.6k | $15.5k | 23% | — | $42.0k – $106.8k |
| 7 | Cigna case rate · outpatient · +7 other terms | 15 | $7.2k | $6.9k | $1.4k | 20% | — | $1.2k – $8.4k |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $55.9k | $57.0k | $21.0k | 37% | — | $18.4k – $94.8k |
| 9 | Humana facility · case rate · outpatient · +5 other terms | 12 | $19.4k | $14.8k | $5.4k | 36% | — | $9.5k – $21.4k |
| 10 | Bcbs Mn fee schedule · outpatient · +1 other terms | 11 | $3.3k | $2.6k | $1.5k | 56% | — | $278 – $4.1k |
← Hospitals reporting CPT 0454T · Snapshot 20261113T090226Z-3ce6c0b8