CPT 64658
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
Rmvl bat modul sys lead only
Low
$571
Average
$6.5k
Median
$6.3k
High
$15.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 1.7× 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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72 hospital rates
iThe hospitals that file a Ambetter 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 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 2 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 3 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 5 | ChristianaCare Wilmington, DE facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 6 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 7 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · fee schedule · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 8 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 9 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 10 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 11 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 12 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 13 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 14 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 15 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 16 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 17 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 18 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 19 | Honorhealth Scottsdale Thompson Peak Med Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 20 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 21 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 22 | Lakeland Hospitals at Niles and St Joseph Inc Niles, MI facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 23 | Lakewood Medical Center Kansas City, MO facility · fee schedule · outpatient | 1 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 24 | MISSION HOSPITAL Arden, NC case rate · outpatient | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 25 | MISSION HOSPITAL MCDOWELL Marion, NC case rate · outpatient | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
← Payers reporting CPT 64658 · Snapshot 20261113T090226Z-3ce6c0b8