CPT 1025T
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
Alt elec fld dos&dlv sim mdl
Low
$96
Average
$308
Median
$208
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 3.3× 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 fee schedule · outpatient · +9 other terms | 122 | $150 | $166 | $67 | 41% | — | $75 – $556 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 99 | $210 | $316 | $163 | 51% | — | $75 – $701 |
| 3 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 68 | $158 | $212 | $127 | 60% | — | $131 – $660 |
| 4 | Humana fee schedule · outpatient · +7 other terms | 59 | $147 | $153 | $18 | 12% | — | $131 – $185 |
| 5 | Molina facility · fee schedule · outpatient · +5 other terms | 53 | $136 | $183 | $426 | 233% | — | $70 – $4.5k |
| 6 | Cigna fee schedule · outpatient · +6 other terms | 48 | $149 | $255 | $168 | 66% | — | $131 – $695 |
| 7 | Kaiser fee schedule · outpatient · +3 other terms | 36 | $224 | $291 | $199 | 68% | — | $135 – $1.1k |
| 8 | Devoted facility · fee schedule · outpatient · +2 other terms | 35 | $127 | $251 | $690 | 275% | — | $127 – $4.4k |
| 9 | Anthem facility · fee schedule · outpatient · +5 other terms | 28 | $184 | $247 | $208 | 84% | — | $125 – $1.4k |
| 10 | WellCare fee schedule · outpatient · +4 other terms | 27 | $161 | $160 | $10 | 7% | — | $136 – $180 |
← Hospitals reporting CPT 1025T · Snapshot 20261113T090226Z-3ce6c0b8