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
$73
Average
$4.1k
Median
$573
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 19.7× 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 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 41 | $665 | $1.4k | $1.7k | 120% | — | $214 – $5.7k |
| 2 | Anthem fee schedule · both · +3 other terms | 17 | $79 | $79 | — | — | — | $79 – $79 |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 15 | $621 | $790 | $600 | 76% | — | $359 – $2.4k |
| 4 | MultiPlan fee schedule · inpatient · +1 other terms | 7 | $2.8k | $2.6k | $429 | 17% | — | $1.5k – $2.8k |
| 5 | Cigna fee schedule · both · +2 other terms | 6 | $205 | $248 | $154 | 62% | — | $107 – $845 |
| 6 | Medica fee schedule · outpatient · +1 other terms | 6 | $1.7k | $1.6k | $159 | 10% | — | $1.3k – $1.7k |
| 7 | Phcs fee schedule · inpatient · +2 other terms | 6 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 6 | $553 | $694 | $361 | 52% | — | $455 – $1.5k |
| 9 | First Health fee schedule · both | 5 | $138 | $138 | — | — | — | $138 – $138 |
| 10 | Molina facility · fee schedule · outpatient | 3 | $100 | $92 | $8 | 9% | — | $84 – $100 |
← Hospitals reporting CPT 75954 · Snapshot 20261113T090226Z-3ce6c0b8