CPT 0858T
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
Ext trnscranl mag stimj meas
Low
$334
Average
$464
Median
$395
High
$724
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 1.9× 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.
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34 hospital rates
iThe hospitals that file a Aetna 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 | Adventhealth Manchester Manchester, KY fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 2 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 3 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 4 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $724 | $724 | — | — | — | $724 – $724 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 6 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $650 | $650 | — | — | — | $650 – $650 |
| 7 | Grand Lake Health System Saint Marys, OH facility · fee schedule · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 8 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 10 | Long Beach Memorial Medical Center Long Beach, CA fee schedule · outpatient | 1 | $480 | $480 | — | — | — | $480 – $480 |
| 11 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $686 | $686 | — | — | — | $686 – $686 |
| 12 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $338 | $338 | $31 | 9% | — | $308 – $369 |
| 13 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $474 | $474 | — | — | — | $474 – $474 |
| 14 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 15 | Monroe Clinic, Inc. Monroe, WI fee schedule · outpatient | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 16 | Naples Community Hospital Naples, FL fee schedule · outpatient | 2 | $585 | $585 | $195 | 33% | — | $390 – $779 |
| 17 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 2 | $334 | $334 | $151 | 45% | — | $183 – $485 |
| 18 | Palomar Medical Center Escondido Escondido, CA fee schedule · outpatient | 1 | $480 | $480 | — | — | — | $480 – $480 |
| 19 | Parkview Dekalb Hospital Auburn, IN facility · fee schedule · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 20 | Parkview Huntington Hospital Huntington, IN facility · fee schedule · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 21 | Parkview Logansport Hospital Logansport, IN facility · fee schedule · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 22 | Parkview Noble Hospital Kendallville, IN facility · fee schedule · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 23 | Parkview Regional Medical Center Fort Wayne, IN facility · fee schedule · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 24 | Parkview Whitley Hospital Warsaw, IN facility · fee schedule · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 25 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $650 | $650 | — | — | — | $650 – $650 |
← Payers reporting CPT 0858T · Snapshot 20261113T090226Z-3ce6c0b8