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
Low
$67
Average
$664
Median
$648
High
$2.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
30 payers; the 90th percentile is 4.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna case rate · outpatient · +1 other terms | 39 | $640 | $633 | $172 | 27% | — | $156 – $1.2k |
| 2 | Molina facility · case rate · outpatient · +2 other terms | 39 | $177 | $418 | $373 | 89% | — | $67 – $1.3k |
| 3 | UnitedHealthcare case rate · outpatient · +1 other terms | 38 | $659 | $626 | $149 | 24% | — | $112 – $724 |
| 4 | Humana case rate · outpatient · +1 other terms | 26 | $661 | $657 | $23 | 4% | — | $628 – $712 |
| 5 | Anthem facility · case rate · outpatient · +1 other terms | 23 | $203 | $362 | $224 | 62% | — | $113 – $681 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 23 | $193 | $496 | $416 | 84% | — | $113 – $1.3k |
| 7 | Optum facility · case rate · outpatient | 14 | $154 | $223 | $177 | 80% | — | $64 – $664 |
| 8 | WellCare case rate · outpatient · +1 other terms | 14 | $682 | $678 | $22 | 3% | — | $610 – $705 |
| 9 | Ambetter case rate · outpatient · +1 other terms | 12 | $983 | $985 | $32 | 3% | — | $951 – $1.1k |
| 10 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 11 | $678 | $659 | $27 | 4% | — | $600 – $682 |
← Hospitals reporting CPT 0877T · Snapshot 20261113T090226Z-3ce6c0b8