CPT 0457U
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
Pfas 9 cmpnd lcms/ms pls/sr
Low
$24
Average
$198
Median
$202
High
$313
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 3.6× 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 | Humana other · inpatient · +3 other terms | 35 | $199 | $199 | $3 | 1% | — | $191 – $205 |
| 2 | UnitedHealthcare other · outpatient · +2 other terms | 34 | $201 | $242 | $110 | 45% | — | $115 – $556 |
| 3 | Ambetter other · inpatient · +1 other terms | 31 | $328 | $310 | $47 | 15% | — | $248 – $378 |
| 4 | Aetna other · inpatient · +1 other terms | 25 | $203 | $247 | $70 | 29% | — | $199 – $407 |
| 5 | Blue Cross Blue Shield other · inpatient · +1 other terms | 21 | $204 | $211 | $20 | 9% | — | $199 – $264 |
| 6 | WellCare other · inpatient · +1 other terms | 20 | $199 | $202 | $5 | 2% | — | $199 – $209 |
| 7 | Molina other · inpatient · +2 other terms | 16 | $298 | $280 | $87 | 31% | — | $205 – $437 |
| 8 | Oscar other · outpatient · +1 other terms | 15 | $318 | $299 | $20 | 7% | — | $278 – $318 |
| 9 | Optum other · inpatient · +1 other terms | 10 | $199 | $199 | — | — | — | $199 – $199 |
| 10 | Tricare other · inpatient · +1 other terms | 10 | $199 | $198 | $2 | 1% | — | $191 – $199 |
← Hospitals reporting CPT 0457U · Snapshot 20261113T090226Z-3ce6c0b8