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

WellCare pricing summary

Low

$31

Average

$40

Median

$40

High

$48

WellCare rate distribution

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46 hospital rates

#		Plans
1	Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
2	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient	1	$48	$48	—	—	—	$48 – $48
3	CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient	1	$40	$40	—	—	—	$40 – $40
4	Carle BroMenn Medical Center Normal, IL case rate · outpatient	1	$40	$40	—	—	—	$40 – $40
5	Carle Eureka Hospital Eureka, IL case rate · outpatient	1	$40	$40	—	—	—	$40 – $40
6	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39
7	DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient	1	$40	$40	—	—	—	$40 – $40
8	EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient	1	$40	$40	—	—	—	$40 – $40
9	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
10	Good Samaritan Hospital Puyallup, WA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
11	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$22	$22	—	—	—	$22 – $22
12	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39
13	Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
14	Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
15	MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39
16	Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
17	Methodist Medical Center of Illinois Peoria, IL case rate · outpatient	1	$40	$40	—	—	—	$40 – $40
18	MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
19	MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient	1	$44	$44	—	—	—	$44 – $44
20	MultiCare Covington Medical Center Covington, WA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
21	MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
22	MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
23	MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
24	Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
25	Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37

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