CPT 64655
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
Revj/rplcmt bat mod sys lead
Low
$631
Average
$4.7k
Median
$3.2k
High
$16.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 6.0× 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 | UnitedHealthcare case rate · outpatient · +2 other terms | 165 | $7.7k | $8.4k | $3.9k | 46% | — | $825 – $33.2k |
| 2 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 58 | $17.1k | $16.9k | $7.7k | 45% | — | $3.0k – $49.3k |
| 3 | Molina case rate · outpatient · +2 other terms | 56 | $2.6k | $2.7k | $514 | 19% | — | $1.9k – $3.7k |
| 4 | Cigna case rate · outpatient · +1 other terms | 53 | $7.5k | $11.4k | $9.6k | 84% | — | $2.4k – $40.7k |
| 5 | Aetna case rate · outpatient · +2 other terms | 45 | $3.7k | $4.7k | $1.7k | 37% | — | $2.5k – $12.7k |
| 6 | Superior Healthplan case rate · outpatient | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 7 | Humana facility · case rate · outpatient · +1 other terms | 31 | $3.6k | $3.1k | $1.1k | 35% | — | $644 – $4.0k |
| 8 | Anthem facility · case rate · outpatient · +1 other terms | 17 | $2.1k | $5.3k | $3.7k | 71% | — | $1.8k – $14.1k |
| 9 | Caresource facility · case rate · outpatient | 17 | $2.1k | $3.1k | $1.9k | 63% | — | $1.8k – $7.1k |
| 10 | Regence facility · case rate · outpatient | 15 | $3.7k | $3.7k | $103 | 3% | — | $3.5k – $4.0k |
← Hospitals reporting CPT 64655 · Snapshot 20261113T090226Z-3ce6c0b8