CPT 64654
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
Intl Open Impl BAT Mod System
Low
$494
Average
$35.0k
Median
$41.7k
High
$146.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
231 hospitals; the 90th percentile is 16.7× 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.
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302 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $41.7k | $41.7k | — | — | — | $41.7k – $41.7k |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $130.5k | $141.8k | $22.4k | 16% | — | $126.0k – $180.0k |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $3.9k | $4.1k | $523 | 13% | — | $3.6k – $4.8k |
| 6 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $9.4k | $9.0k | $1.1k | 12% | — | $7.5k – $10.1k |
| 7 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $42.1k | $42.1k | — | — | — | $42.1k – $42.1k |
| 8 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $49.2k | $49.2k | — | — | — | $49.2k – $49.2k |
| 9 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $43.0k | $43.0k | — | — | — | $43.0k – $43.0k |
| 10 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 3 | $2.0k | $2.4k | $539 | 23% | — | $1.9k – $3.1k |
| 11 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $43.0k | $43.0k | — | — | — | $43.0k – $43.0k |
| 12 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 3 | $2.0k | $2.4k | $539 | 23% | — | $1.9k – $3.1k |
| 13 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $43.0k | $43.0k | — | — | — | $43.0k – $43.0k |
| 14 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 3 | $2.0k | $2.4k | $539 | 23% | — | $1.9k – $3.1k |
| 15 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $45.5k | $45.5k | — | — | — | $45.5k – $45.5k |
| 16 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 17 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $46.1k | $45.4k | $25.7k | 56% | — | $8.5k – $81.0k |
| 18 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 1 | $42.8k | $42.8k | — | — | — | $42.8k – $42.8k |
| 19 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $860 | $860 | $366 | 43% | — | $494 – $1.2k |
| 20 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO case rate · outpatient | 4 | $5.4k | $5.4k | $1.5k | 27% | — | $3.7k – $7.4k |
| 21 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 1 | $44.2k | $44.2k | — | — | — | $44.2k – $44.2k |
| 22 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · fee schedule · outpatient | 1 | $44.2k | $44.2k | — | — | — | $44.2k – $44.2k |
| 23 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 2 | $7.2k | $14.7k | $17.0k | 116% | — | $1.4k – $42.9k |
| 24 | Blessing Hospital Quincy, IL professional · case rate · both | 1 | $603 | $603 | — | — | — | $603 – $603 |
| 25 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
← Payers reporting CPT 64654 · Snapshot 20261113T090226Z-3ce6c0b8