CPT 55881
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
Ablt trurl prst8 tis thrm us
Low
$372
Average
$30.8k
Median
$35k
High
$71.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 120.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
15 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 3 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 4 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 5 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 6 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 7 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $414 | $414 | — | — | — | $414 – $414 |
| 9 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 10 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 11 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 12 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 13 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 14 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $71.9k | $71.9k | — | — | — | $71.9k – $71.9k |
| 15 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX professional · fee schedule · both | 2 | $414 | $414 | $34 | 8% | — | $380 – $447 |
← Payers reporting CPT 55881 · Snapshot 20261113T090226Z-3ce6c0b8