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
$116
Average
$971
Median
$499
High
$2.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 15.9× 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.
Filter by billing methodology
Filter by billing class
37 hospital rates
iThe hospitals that file a MultiPlan 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 14 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 15 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $499 | $499 | — | — | — | $499 – $499 |
| 16 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 17 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 18 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | $11 | 9% | — | $105 – $126 |
| 19 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $184 | $184 | — | — | — | $184 – $184 |
| 20 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $184 | $184 | — | — | — | $184 – $184 |
| 21 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $200 | $200 | $5 | 2% | — | $195 – $204 |
| 22 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $200 | $200 | $5 | 2% | — | $195 – $204 |
| 23 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $177 | $177 | $11 | 6% | — | $166 – $188 |
| 24 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | $11 | 6% | — | $166 – $188 |
| 25 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $167 | $167 | $10 | 6% | — | $157 – $177 |
← Payers reporting CPT 0504T · Snapshot 20261113T090226Z-3ce6c0b8