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
$0
Average
$3.8k
Median
$3.6k
High
$7.6k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
121 hospitals; the 90th percentile is 3.3× 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.
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123 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $5.2k | $5.2k | $1.8k | 34% | — | $3.4k – $7.0k |
| 4 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 5 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $5.6k | $5.6k | $2.0k | 35% | — | $3.7k – $7.6k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $5.6k | $5.6k | $2.0k | 35% | — | $3.7k – $7.6k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 10 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 16 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 17 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 18 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Covenant Hospital Hobbs Hobbs, NM fee schedule · outpatient | 2 | $6.6k | $6.6k | $3.1k | 46% | — | $3.6k – $9.7k |
| 20 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 2 | $2.8k | $2.8k | $872 | 31% | — | $1.9k – $3.7k |
| 21 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 2 | $2.8k | $2.8k | $872 | 31% | — | $1.9k – $3.7k |
| 22 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $2.6k | $3.7k | $1.5k | 42% | — | $2.6k – $5.9k |
| 23 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
← Payers reporting CPT 0874T · Snapshot 20261113T090226Z-3ce6c0b8