CPT 0577U
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
Onc ovr serum alys 39 gps
Low
$135
Average
$255
Median
$254
High
$309
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
197 hospitals; the 90th percentile is 1.1× 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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198 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $265 | $265 | $6 | 2% | — | $259 – $272 |
| 2 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 3 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 4 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 5 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 6 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 7 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 8 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 9 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 10 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 11 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 12 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $247 | $247 | — | — | — | $247 – $247 |
| 13 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 14 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 16 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 17 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 18 | Danbury Hospital New Milford, CT fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 19 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 20 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 21 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 22 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 23 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 24 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 25 | HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL fee schedule · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
← Payers reporting CPT 0577U · Snapshot 20261113T090226Z-3ce6c0b8