CPT 0874T
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
Rmvl pertl ascites pmp sys
Low
$2.3k
Average
$3.8k
Median
$3.7k
High
$5.4k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
97 hospitals; the 90th percentile is 1.4× 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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98 hospital rates
iThe hospitals that file a Humana 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 2 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 3 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 4 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 5 | Boone Hospital Center Columbia, MO fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 10 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 11 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 12 | Covenant Hospital Hobbs Hobbs, NM fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 14 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 15 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 16 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 17 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 18 | Grand Lake Health System Saint Marys, OH facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 19 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 20 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 22 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 23 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 24 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · case rate · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 25 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · case rate · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
← Payers reporting CPT 0874T · Snapshot 20261113T090226Z-3ce6c0b8