CPT 16042
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.
Generation details were not recorded for this description.
Original text from hospital filings
Description Not Available
Low
$1.2k
Average
$19.2k
Median
$15k
High
$45.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 5.7× 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 fee schedule · outpatient · +1 other terms | 32 | $7.7k | $8.1k | $6.1k | 75% | — | $2.6k – $33.6k |
| 2 | Cigna fee schedule · outpatient · +3 other terms | 14 | $4.8k | $6.7k | $4.6k | 68% | — | $4.0k – $20.7k |
| 3 | Blue Cross Blue Shield other · outpatient · +1 other terms | 5 | $24.2k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 4 | Caresource other · outpatient · +1 other terms | 5 | $6.5k | $7.4k | $1.6k | 21% | — | $5.8k – $9.4k |
| 5 | Kaiser case rate · outpatient · +1 other terms | 5 | $6.3k | $6.3k | $915 | 15% | — | $5.3k – $7.5k |
| 6 | Oscar case rate · outpatient · +1 other terms | 5 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 7 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 8 | Tricare fee schedule · outpatient · +1 other terms | 5 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | UnitedHealthcare case rate · outpatient · +1 other terms | 5 | $7.5k | $7.5k | $799 | 11% | — | $6.3k – $8.1k |
| 10 | Devoted facility · fee schedule · outpatient | 2 | $15k | $15k | — | — | — | $15k – $15k |
← Hospitals reporting CPT 16042 · Snapshot 20261113T090226Z-3ce6c0b8