CPT 75954
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
Fee Schedule
Low
$89
Average
$1.3k
Median
$585
High
$5.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 19.7× 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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76 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $666 | $661 | $35 | 5% | — | $616 – $702 |
| 2 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $676 | $671 | $36 | 5% | — | $625 – $712 |
| 3 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $654 | $649 | $34 | 5% | — | $605 – $689 |
| 4 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $413 | $410 | $22 | 5% | — | $382 – $434 |
| 5 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $670 | $665 | $35 | 5% | — | $620 – $705 |
| 6 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $674 | $669 | $35 | 5% | — | $624 – $710 |
| 7 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $674 | $669 | $35 | 5% | — | $624 – $710 |
| 8 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $663 | $659 | $35 | 5% | — | $614 – $699 |
| 9 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $315 | $313 | $16 | 5% | — | $292 – $332 |
| 10 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $673 | $667 | $35 | 5% | — | $622 – $708 |
| 11 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $670 | $665 | $35 | 5% | — | $620 – $705 |
| 12 | Alexian Brothers Medical Center Village, IL other · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 13 | BASSETT HOSPITAL OF SCHOHARIE COUNTY Cobleskill, NY facility · percent of total billed charges · outpatientfrom % of charges | 14 | $139 | $111 | $44 | 39% | — | $60 – $154 |
| 14 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 3 | $214 | $214 | — | — | — | $214 – $214 |
| 15 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 18 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 19 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 20 | Bronson South Haven Hospital South Haven, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 21 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 3 | $214 | $214 | — | — | — | $214 – $214 |
| 22 | Childrens Hospital of Orange County - Profit Orange, CA facility · fee schedule · outpatient | 1 | $826 | $826 | $21 | 2% | — | $805 – $846 |
| 23 | Childrens Hospital of Orange County - Profit Orange, CA facility · per diem · outpatient | 2 | $583 | $583 | $18 | 3% | — | $559 – $608 |
| 24 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $584 | $585 | $48 | 8% | — | $519 – $654 |
| 25 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
← Payers reporting CPT 75954 · Snapshot 20261113T090226Z-3ce6c0b8