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
$365
Average
$43.3k
Median
$600
High
$234.0k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 362.5× 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
31 hospital rates
iThe hospitals that file a First Health 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 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $46.0k | $46.0k | — | — | — | $46.0k – $46.0k |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $132.3k | $132.3k | — | — | — | $132.3k – $132.3k |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $132.3k | $132.3k | — | — | — | $132.3k – $132.3k |
| 4 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $132.3k | $132.3k | — | — | — | $132.3k – $132.3k |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $132.3k | $132.3k | — | — | — | $132.3k – $132.3k |
| 6 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $132.3k | $132.3k | — | — | — | $132.3k – $132.3k |
| 7 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $132.3k | $132.3k | — | — | — | $132.3k – $132.3k |
| 8 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $600 | $600 | — | — | — | $600 – $600 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $600 | $600 | — | — | — | $600 – $600 |
| 10 | Kaweah Health Medical Center Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $993 | $993 | — | — | — | $993 – $993 |
| 11 | Kaweah Health Mental Health Hospital Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $993 | $993 | — | — | — | $993 – $993 |
| 12 | METHODIST HOSPITAL HELOTES, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 13 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 14 | METHODIST HOSPITAL LANDMARK SAN ANTONIO, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 15 | METHODIST HOSPITAL HILL COUNTRY Fredericksburg, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 16 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 17 | METHODIST HOSPITAL WESTOVER HILLS SAN ANTONIO, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 18 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 19 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 20 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 21 | METROPOLITAN METHODIST SAN ANTONIO, TX per diem · outpatient | 3 | $365 | $365 | — | — | — | $365 – $365 |
| 22 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $91.3k | $91.3k | — | — | — | $91.3k – $91.3k |
| 23 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91.3k | $91.3k | — | — | — | $91.3k – $91.3k |
| 24 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $71.7k | $71.7k | — | — | — | $71.7k – $71.7k |
| 25 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71.7k | $71.7k | — | — | — | $71.7k – $71.7k |
← Payers reporting CPT 64654 · Snapshot 20261113T090226Z-3ce6c0b8