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
$284
Average
$40.9k
Median
$41.3k
High
$160.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
333 hospitals; the 90th percentile is 5.4× 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
376 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Avera Heart Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $137.2k | $137.2k | — | — | 1–10 | $137.2k – $137.2k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151.4k | $151.4k | — | — | — | $151.4k – $151.4k |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $1.1k | $1.1k | $496 | 47% | — | $554 – $1.5k |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $49.6k | $49.6k | $443 | 1% | — | $49.2k – $50.1k |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $42.1k | $42.1k | — | — | — | $42.1k – $42.1k |
| 7 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $48.3k | $48.3k | — | — | — | $48.3k – $48.3k |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $21.1k | $21.1k | — | — | — | $21.1k – $21.1k |
| 9 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $88.1k | $88.1k | — | — | — | $88.1k – $88.1k |
| 10 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 11 | Avera Heart Hospital Sioux Falls, SD percent of total billed charges · inpatientfrom % of charges | 1 | $137.2k | $137.2k | — | — | — | $137.2k – $137.2k |
| 12 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $922 | $922 | $428 | 46% | — | $494 – $1.4k |
| 13 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO case rate · outpatient | 1 | $65.4k | $65.4k | — | — | — | $65.4k – $65.4k |
| 14 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 1 | $49.6k | $49.6k | — | — | — | $49.6k – $49.6k |
| 15 | Baylor Scott & White The Heart Hospital - McKinney McKinney, TX facility · fee schedule · outpatient | 1 | $49.6k | $49.6k | — | — | — | $49.6k – $49.6k |
| 16 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · fee schedule · outpatient | 1 | $49.6k | $49.6k | — | — | — | $49.6k – $49.6k |
| 17 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 18 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $27.6k | $27.6k | — | — | — | $27.6k – $27.6k |
| 19 | Blessing Hospital Quincy, IL facility · case rate · outpatient | 1 | $50.6k | $50.6k | — | — | — | $50.6k – $50.6k |
| 20 | Blessing Hospital Quincy, IL professional · case rate · both | 1 | $603 | $603 | — | — | — | $603 – $603 |
| 21 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 22 | Boston Medical Center Boston, MA other · both | 1 | $125.7k | $125.7k | — | — | — | $125.7k – $125.7k |
| 23 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $33.2k | $33.2k | — | — | — | $33.2k – $33.2k |
| 24 | Boston Medical Center Brighton Boston, MA other · both | 1 | $52.8k | $52.8k | — | — | — | $52.8k – $52.8k |
| 25 | Boston Medical Center South Brockton, MA other · both | 1 | $52.8k | $52.8k | — | — | — | $52.8k – $52.8k |
← Payers reporting CPT 64654 · Snapshot 20261113T090226Z-3ce6c0b8