CPT 0875T

Programming of implanted abdominal ascites pump

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Prgrm subq prtl asct pmp sys

Ambetter pricing summary

Low

$45

Average

$72

Median

$75

High

$105

Ambetter rate distribution

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32 hospital rates

#		Plans
1	CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
2	DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient	1	$79	$79	—	—	—	$79 – $79
3	EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient	1	$79	$79	—	—	—	$79 – $79
4	Good Samaritan Hospital Puyallup, WA fee schedule · outpatient	1	$85	$85	—	—	—	$85 – $85
5	Hendrick Medical Center Brownwood, TX facility · case rate · outpatient	1	$85	$85	—	—	—	$85 – $85
6	HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient	1	$57	$57	—	—	—	$57 – $57
7	Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient	1	$57	$57	—	—	—	$57 – $57
8	Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient	1	$86	$86	—	—	—	$86 – $86
9	Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient	1	$86	$86	—	—	—	$86 – $86
10	MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient	1	$85	$85	—	—	—	$85 – $85
11	MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78
12	MultiCare Covington Medical Center Covington, WA fee schedule · outpatient	1	$85	$85	—	—	—	$85 – $85
13	MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
14	MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
15	MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
16	Naples Community Hospital Naples, FL fee schedule · outpatient	1	$88	$88	—	—	—	$88 – $88
17	New Liberty Hospital Corporation Liberty, MO facility · case rate · outpatient	1	$47	$47	—	—	—	$47 – $47
18	Phoebe Putney Memorial Hospital & North Campus Albany, GA fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
19	SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
20	SSM Health Care of Oklahoma, Inc Midwest City, OK fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
21	SSM Health Care of Oklahoma, Inc Oklahoma City, OK fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
22	Sarasota Memorial Hospital Sarasota, FL case rate · outpatient	1	$105	$105	—	—	—	$105 – $105
23	Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient	1	$105	$105	—	—	—	$105 – $105
24	Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient	1	$85	$85	—	—	—	$85 – $85
25	University Hospitals Health System Chardon, OH facility · fee schedule · outpatient	1	$64	$64	—	—	—	$64 – $64

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← Payers reporting CPT 0875T · Snapshot 20261113T090226Z-3ce6c0b8