CPT 49204
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
Exc abd tum over 5 cm
Low
$371
Average
$5.7k
Median
$4.1k
High
$29.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 5.6× 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 | Oscar case rate · outpatient · +9 other terms | 119 | $9.7k | $8.4k | $2.7k | 32% | — | $3.5k – $17.8k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 105 | $5.4k | $7.1k | $5.8k | 82% | — | $1.2k – $30.2k |
| 3 | Anthem case rate · outpatient · +14 other terms | 94 | $7.6k | $8.8k | $5.3k | 60% | — | $1.9k – $38.0k |
| 4 | Cigna case rate · outpatient · +18 other terms | 78 | $5.1k | $5.7k | $3.6k | 63% | — | $1 – $13.6k |
| 5 | Healthcare Highways case rate · outpatient | 76 | $8.5k | $8.1k | $1.4k | 17% | — | $3.4k – $9.6k |
| 6 | Aetna fee schedule · outpatient · +21 other terms | 71 | $7.4k | $7.4k | $6.3k | 85% | — | $1.0k – $33.6k |
| 7 | UnitedHealthcare fee schedule · both · +19 other terms | 67 | $2.3k | $2.6k | $1.9k | 71% | — | $344 – $10.3k |
| 8 | Humana case rate · outpatient · +18 other terms | 58 | $4.7k | $4.9k | $1.7k | 34% | — | $1.4k – $7.1k |
| 9 | Molina facility · case rate · outpatient · +11 other terms | 28 | $2.4k | $2.5k | $851 | 35% | — | $839 – $5.4k |
| 10 | Regence professional · fee schedule · outpatient · +2 other terms | 24 | $717 | $1.8k | $1.5k | 82% | — | $236 – $4.8k |
← Hospitals reporting CPT 49204 · Snapshot 20261113T090226Z-3ce6c0b8