CPT 0875T
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
Prgrm subq prtl asct pmp sys
Low
$0
Average
$563
Median
$117
High
$7.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
190 hospitals; the 90th percentile is 63.4× 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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194 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $131 | $170 | $63 | 37% | — | $109 – $246 |
| 2 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $150 | $150 | $11 | 7% | — | $140 – $161 |
| 3 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $150 | $150 | $11 | 7% | — | $140 – $161 |
| 5 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Ascension Cedar Park Park, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 10 | Ascension Seton Luling, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 11 | Ascension Seton Burnet, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 12 | Ascension Seton Smithville, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 13 | Ascension Seton Bastrop, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 14 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 15 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 5 | $123 | $119 | $30 | 25% | — | $62 – $150 |
| 16 | Billings Clinic Billings, MT fee schedule · outpatient | 2 | $56 | $56 | $18 | 32% | — | $38 – $74 |
| 17 | Boone Hospital Center Columbia, MO fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 18 | CLAIBORNE MEDICAL CENTER Tazewell, TN case rate · outpatient | 2 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 3 | $48 | $435 | $476 | 109% | — | $48 – $1.1k |
| 20 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $202 | $171 | $44 | 26% | — | $109 – $202 |
| 21 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN case rate · outpatient | 2 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 24 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 25 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
← Payers reporting CPT 0875T · Snapshot 20261113T090226Z-3ce6c0b8