CPT 0964T
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
I&cust prep jaw xpnsj 1arch
Low
$1.2k
Average
$3.9k
Median
$3.4k
High
$11.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
40 payers; the 90th percentile is 3.0× 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 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 80 | $3.3k | $4.2k | $10.2k | 241% | — | $953 – $111.7k |
| 2 | Humana facility · case rate · outpatient · +1 other terms | 65 | $3.4k | $3.1k | $553 | 18% | — | $1.2k – $4.3k |
| 3 | Molina facility · case rate · outpatient · +2 other terms | 55 | $2.6k | $4.0k | $10.8k | 269% | — | $39 – $111.7k |
| 4 | Aetna facility · case rate · outpatient · +1 other terms | 53 | $3.4k | $3.6k | $961 | 27% | — | $1.2k – $7.2k |
| 5 | Anthem case rate · outpatient · +1 other terms | 52 | $5.2k | $5.7k | $2.7k | 48% | — | $1.2k – $16.2k |
| 6 | Cigna facility · case rate · outpatient · +1 other terms | 28 | $3.0k | $3.6k | $1.5k | 42% | — | $2.0k – $7.9k |
| 7 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 25 | $3.3k | $3.7k | $1.6k | 44% | — | $1.2k – $7.4k |
| 8 | WellCare facility · case rate · outpatient · +1 other terms | 22 | $3.3k | $3.4k | $627 | 19% | — | $1.2k – $4.9k |
| 9 | Caresource facility · case rate · outpatient · +1 other terms | 21 | $1.5k | $7.4k | $21.6k | 293% | — | $1.4k – $108.4k |
| 10 | Optum facility · case rate · outpatient | 17 | $1.4k | $1.9k | $885 | 46% | — | $1.1k – $3.5k |
← Hospitals reporting CPT 0964T · Snapshot 20261113T090226Z-3ce6c0b8