CPT 54402
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
Description Not Available
Low
$18.6k
Average
$30.9k
Median
$34.2k
High
$37.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
6 payers; the 90th percentile is 1.6× 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 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 5 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 2 | Caresource percent of total billed charges · outpatientfrom % of charges | 5 | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 3 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 4 | Tricare facility · percent of total billed charges · outpatientfrom % of charges | 2 | $35k | $35k | — | — | — | $35k – $35k |
| 5 | Anthem facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26.0k | $26.0k | $165 | 1% | — | $25.9k – $26.3k |
| 6 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
← Hospitals reporting CPT 54402 · Snapshot 20261113T090226Z-3ce6c0b8