CPT 0455T
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
$3.0k
Average
$5.6k
Median
$4.5k
High
$15.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 2.4× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 27 | $4.4k | $4.2k | $1.7k | 41% | — | $1.9k – $10.3k |
| 2 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 20 | $2.7k | $3.1k | $924 | 30% | — | $1.4k – $4.7k |
| 3 | Anthem facility · case rate · outpatient · +1 other terms | 15 | $2.7k | $3.0k | $699 | 23% | — | $1.9k – $4.6k |
| 4 | Caresource facility · case rate · outpatient | 15 | $2.8k | $3.0k | $683 | 23% | — | $1.9k – $4.7k |
| 5 | Optum facility · case rate · outpatient | 13 | $2.6k | $3.0k | $728 | 24% | — | $2.3k – $4.2k |
| 6 | Humana facility · case rate · outpatient | 12 | $4.3k | $4.3k | $203 | 5% | — | $4.1k – $4.7k |
| 7 | Cigna case rate · outpatient · +1 other terms | 11 | $7.2k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 8 | Aetna facility · case rate · outpatient · +1 other terms | 7 | $5.1k | $7.2k | $4.9k | 68% | — | $2.3k – $18.7k |
| 9 | Aetna Better Health facility · case rate · outpatient | 7 | $5.1k | $5.1k | $81 | 2% | — | $4.9k – $5.3k |
| 10 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $4.7k | $4.7k | $149 | 3% | — | $4.7k – $5.1k |
← Hospitals reporting CPT 0455T · Snapshot 20261113T090226Z-3ce6c0b8