7 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $11 | 17% | — | $48 – $72 |
| 3 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Superior Healthplan fee schedule · outpatient | 1 | $68 | $68 | $12 | 17% | — | $56 – $79 |
| 7 | UnitedHealthcare facility · case rate · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
← Hospitals reporting CPT 43004 · Snapshot 20261110T121559Z-606c1870