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
$409
Average
$1.9k
Median
$1.8k
High
$3.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 4.4× 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 | Cigna percent of total billed charges · outpatientfrom % of charges · +1 other terms | 17 | $2.7k | $2.8k | $714 | 26% | — | $684 – $3.7k |
| 2 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 17 | $3.5k | $3.1k | $886 | 29% | — | $901 – $3.6k |
| 3 | Aetna percent of total billed charges · outpatientfrom % of charges · +1 other terms | 16 | $2.6k | $2.4k | $908 | 38% | — | $371 – $3.8k |
| 4 | Aetna Better Health percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 5 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $1.9k | $1.9k | $285 | 15% | — | $1.5k – $2.2k |
| 6 | Molina percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $598 | $598 | — | — | — | $598 – $598 |
| 7 | Phcs percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 8 | Superior Healthplan facility · percent of total billed charges · bothfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 9 | UnitedHealthcare percent of total billed charges · inpatientfrom % of charges · +2 other terms | 1 | $2.1k | $2.1k | $692 | 33% | — | $1.4k – $2.8k |
← Hospitals reporting CPT 0877T · Snapshot 20261113T090226Z-3ce6c0b8