CPT 0864T
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
Outpatient Services: CPT/HCPCS
Prices here combine facility and professional fees. See them separately →Experimental
Low
$11
Average
$1.6k
Median
$742
High
$14.4k
Showing only prices reported under the case rate methodology. Choose another in the filter below to change the chart. 398 hospitals; the 90th percentile is 17.3× 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.
Click a bar to filter the hospitals table to that price range.
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Deaconess Hospital, Inc Newburgh, IN | $243 | $345 | $131 | 38% | — | $231 – $583 |
| 2 | Methodist Hospital Hill Country Fredericksburg, TX | $1.8k | $1.7k | $342 | 20% | — | $1.2k – $2.2k |
| 3 | Hca Healthone Northeast Er THORNTON, CO | $3.9k | $4.0k | $674 | 17% | — | $3.2k – $4.8k |
| 4 | McLeod Health Dillon, SC | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX | $264 | $323 | $211 | 65% | — | $161 – $1.1k |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL | $61 | $62 | $4 | 7% | — | $56 – $67 |
| 7 | Mahnomen Health Center Mahnomen, MN | $255 | $251 | $6 | 2% | — | $243 – $255 |
| 8 | Thomas Jefferson University Hospital, Inc. Philadelphia, PA | $1.3k | $2.2k | $1.6k | 73% | — | $1.1k – $4.9k |
| 9 | Sanford USD Medical Center Sioux Falls, SD | $251 | $248 | $7 | 3% | — | $231 – $255 |
| 10 | Jefferson Health - Northeast Langhorne, PA | $637 | $602 | $50 | 8% | — | $531 – $637 |
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