CPT 0458T
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
$0
Average
$5.9k
Median
$7.2k
High
$13.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 14.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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40 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Cheshire Medical Center Keene, NH facility · case rate · outpatient | 2 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 9 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA case rate · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 10 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · case rate · outpatient | 3 | $6.9k | $6.7k | $248 | 4% | — | $6.4k – $6.9k |
| 11 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · case rate · outpatient | 3 | $6.9k | $6.7k | $248 | 4% | — | $6.4k – $6.9k |
| 13 | Lahey Hospital & Medical Center, Burlington Peabody, MA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | METHODIST HOSPITAL HELOTES, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 15 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 16 | METHODIST HOSPITAL LANDMARK SAN ANTONIO, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 17 | METHODIST HOSPITAL HILL COUNTRY Fredericksburg, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 18 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 19 | METHODIST HOSPITAL WESTOVER HILLS SAN ANTONIO, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 20 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 21 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 22 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 23 | METROPOLITAN METHODIST SAN ANTONIO, TX case rate · outpatient | 4 | $7.0k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 24 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 25 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA case rate · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
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