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
$87
Average
$387
Median
$307
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 5.6× 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 | Cigna professional · percent of total billed charges · bothfrom % of charges · +4 other terms | 9 | $105 | $101 | $14 | 14% | — | $68 – $126 |
| 2 | Aetna facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 8 | $94 | $248 | $462 | 186% | — | $82 – $1.8k |
| 3 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 7 | $182 | $366 | $621 | 170% | — | $157 – $2.4k |
| 4 | UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 7 | $35 | $49 | $27 | 54% | — | $35 – $109 |
| 5 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 6 | $178 | $553 | $837 | 151% | — | $170 – $2.4k |
| 6 | Ambetter percent of total billed charges · bothfrom % of charges · +1 other terms | 4 | $263 | $263 | — | — | — | $263 – $263 |
| 7 | Caresource professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 4 | $61 | $61 | — | — | — | $61 – $61 |
| 8 | Humana professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 4 | $137 | $130 | $14 | 11% | — | $105 – $140 |
| 9 | Molina percent of total billed charges · bothfrom % of charges | 4 | $158 | $158 | — | — | — | $158 – $158 |
| 10 | Oscar percent of total billed charges · bothfrom % of charges | 4 | $305 | $305 | — | — | — | $305 – $305 |
← Hospitals reporting CPT 0504T · Snapshot 20261113T090226Z-3ce6c0b8