CPT 0877T
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
AUGMNT ALYS CH CT ILD W/O CT
Prices here combine facility and professional fees. See them separately →Experimental
Low
$209
Average
$768
Median
$716
High
$3.3k
Showing only prices reported under the other methodology. Choose another in the filter below to change the chart. 54 hospitals; the 90th percentile is 1.4× 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.
Click a bar to filter the hospitals table to that price range.
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Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $625 | $698 | $206 | 30% | — | $612 – $1.3k |
| 2 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $633 | $887 | $358 | 40% | — | $633 – $1.4k |
| 3 | Henry Ford Health Novi, MI | $637 | $594 | $159 | 27% | — | $370 – $880 |
| 4 | Sacred Heart Health System, Inc. Joe, FL | $717 | $862 | $242 | 28% | — | $699 – $1.6k |
| 5 | St. Vincent's Medical Center-Clay County, Inc. Middleburg, FL | $666 | $860 | $248 | 29% | — | $633 – $1.5k |
| 6 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $666 | $847 | $249 | 29% | — | $627 – $1.5k |
| 7 | Nationwide Children's Hospital Columbus, OH | $282 | $282 | — | — | — | $282 – $282 |
| 8 | St. Vincent's Medical Center, Inc. (FL) Jacksonville, FL | $666 | $841 | $248 | 29% | — | $633 – $1.5k |
| 9 | Ascension Seton Austin, TX | $630 | $690 | $146 | 21% | — | $618 – $1.1k |
| 10 | St. Alexius Medical Center Estates, IL | $698 | $782 | $158 | 20% | — | $644 – $1.2k |
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