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
$9.1k
Median
$9.3k
High
$16.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 4.4× 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 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 35 | $14.2k | $17.5k | $8.3k | 47% | — | $2.5k – $42.2k |
| 2 | Anthem fee schedule · outpatient · +2 other terms | 21 | $185 | $1.4k | $7.0k | 509% | — | $185 – $42.9k |
| 3 | UnitedHealthcare fee schedule · both · +3 other terms | 18 | $583 | $759 | $1.2k | 158% | — | $458 – $8.3k |
| 4 | Bcbs Mn fee schedule · outpatient · +1 other terms | 11 | $3.3k | $2.6k | $1.5k | 56% | — | $278 – $4.1k |
| 5 | Cigna fee schedule · outpatient · +2 other terms | 10 | $8.9k | $9.2k | $5.3k | 57% | — | $0 – $20.1k |
| 6 | Humana facility · fee schedule · outpatient · +2 other terms | 9 | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 7 | Aetna fee schedule · outpatient · +1 other terms | 8 | $32.5k | $17.8k | $17.2k | 97% | — | $2.2k – $42.9k |
| 8 | Kaiser facility · fee schedule · outpatient · +1 other terms | 7 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 9 | Medical Mutual fee schedule · outpatient | 7 | $9.3k | $9.3k | $1.6k | 18% | — | $7.6k – $10.9k |
| 10 | Bcbs Tx facility · fee schedule · outpatient | 4 | $21.4k | $16.2k | $7.9k | 49% | — | $4.4k – $21.8k |
← Hospitals reporting CPT 0454T · Snapshot 20261113T090226Z-3ce6c0b8