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
$35
Average
$37
Median
$35
High
$43
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28 hospital rates
iThe hospitals that file a Devoted 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 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 3 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 6 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 8 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Fairview Hospital Cleveland, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 12 | LUTHERAN HOSPITAL Cleveland, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 14 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 15 | MEDINA HOSPITAL Medina, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 18 | The Cleveland Clinic Foundation Brunswick, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 19 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 20 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 22 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 23 | University Hospitals Health System Concord Township, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 24 | University Hospitals Health System Cleveland, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | University Hospitals Health System Parma, OH facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
← Payers reporting CPT 0875T · Snapshot 20261113T090226Z-3ce6c0b8