CPT 0504T
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
$53
Average
$428
Median
$174
High
$3.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
29 payers; the 90th percentile is 13.1× 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 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 37 | $421 | $473 | $284 | 60% | — | $0 – $1.1k |
| 2 | UnitedHealthcare fee schedule · both · +9 other terms | 34 | $209 | $181 | $91 | 50% | — | $33 – $305 |
| 3 | Anthem fee schedule · outpatient · +6 other terms | 17 | $88 | $88 | — | — | — | $88 – $88 |
| 4 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $80 | $86 | $20 | 23% | — | $53 – $136 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 15 | $79 | $86 | $20 | 23% | — | $55 – $133 |
| 6 | Humana fee schedule · outpatient · +6 other terms | 13 | $239 | $204 | $54 | 26% | — | $100 – $283 |
| 7 | Bcbs Nc fee schedule · both | 11 | $165 | $170 | $21 | 12% | — | $147 – $193 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 11 | $74 | $81 | $18 | 22% | — | $67 – $121 |
| 9 | Cigna fee schedule · outpatient · +9 other terms | 9 | $8.9k | $8.6k | $5.6k | 65% | — | $100 – $20.1k |
| 10 | MultiPlan fee schedule · inpatient · +6 other terms | 9 | $1.9k | $1.8k | $269 | 15% | — | $1.2k – $1.9k |
← Hospitals reporting CPT 0504T · Snapshot 20261113T090226Z-3ce6c0b8