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
$81
Average
$96
Median
$86
High
$141
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 1.4× 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 | Anthem facility · case rate · outpatient | 15 | $79 | $86 | $20 | 23% | — | $53 – $133 |
| 2 | Caresource facility · case rate · outpatient | 15 | $80 | $86 | $20 | 23% | — | $53 – $136 |
| 3 | Molina facility · case rate · outpatient | 15 | $79 | $86 | $20 | 23% | — | $55 – $133 |
| 4 | UnitedHealthcare facility · case rate · outpatient | 15 | $80 | $87 | $20 | 23% | — | $55 – $136 |
| 5 | Optum facility · case rate · outpatient | 11 | $74 | $81 | $18 | 22% | — | $67 – $121 |
| 6 | Blue Cross Blue Shield case rate · outpatient | 3 | $100 | $107 | $15 | 14% | — | $100 – $141 |
| 7 | Wellmark case rate · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
← Hospitals reporting CPT 0504T · Snapshot 20261113T090226Z-3ce6c0b8