Endovascular thoracic aorta stent graft placement

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ENDOVASC RPR THORACIC PROX

Payers reporting CPT 75958

Payer pricing summary

Low

$164

Average

$1.9k

Median

$1.3k

High

$16.7k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	183	$601	$639	$527	83%	—	$0 – $4.3k
2	Aetna fee schedule · outpatient · +24 other terms	164	$487	$844	$914	108%	—	$1 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +26 other terms	122	$339	$500	$1.1k	212%	—	$0 – $10.0k
4	Humana fee schedule · outpatient · +21 other terms	72	$643	$1.3k	$2.4k	191%	—	$0 – $18.3k
5	Anthem fee schedule · outpatient · +17 other terms	60	$297	$421	$564	134%	—	$180 – $4.8k
6	Cigna fee schedule · outpatient · +22 other terms	49	$417	$552	$715	129%	—	$68 – $4.4k
7	MultiPlan fee schedule · outpatient · +16 other terms	43	$577	$990	$1.2k	120%	—	$1 – $5.3k
8	Molina facility · case rate · outpatient · +20 other terms	41	$151	$1.4k	$3.7k	260%	—	$72 – $13.0k
9	WellCare facility · case rate · outpatient · +13 other terms	37	$13.1k	$12.5k	$5.6k	45%	—	$144 – $19.0k
10	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$899	$699	$218	31%	—	$180 – $972
11	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	25	$251	$254	$79	31%	—	$134 – $469
12	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	24	$2.5k	$2.6k	$1.4k	53%	—	$384 – $6.4k
13	Bcbs Tx fee schedule · outpatient · +3 other terms	22	$816	$838	$246	29%	—	$325 – $1.5k
14	Regence professional · fee schedule · outpatient · +5 other terms	20	$183	$194	$48	25%	—	$183 – $461
15	Medica fee schedule · outpatient · +12 other terms	19	$437	$576	$448	78%	—	$284 – $4.3k
16	Optum facility · case rate · outpatient · +13 other terms	17	$113	$3.7k	$5.8k	157%	—	$87 – $14.7k
17	Caresource facility · case rate · outpatient · +11 other terms	16	$110	$2.1k	$5.7k	269%	—	$69 – $21.5k
18	First Health fee schedule · outpatient · +10 other terms	16	$428	$1.3k	$1.6k	119%	—	$74 – $4.8k
19	Phcs fee schedule · outpatient · +11 other terms	16	$1.0k	$1.0k	$298	29%	—	$452 – $1.4k
20	Amerihealth Caritas fee schedule · both · +9 other terms	13	$455	$636	$925	145%	—	$182 – $5.0k
21	Wellmark fee schedule · both · +7 other terms	13	$294	$296	$81	27%	—	$167 – $455
22	Ambetter fee schedule · both · +13 other terms	12	$211	$195	$35	18%	—	$164 – $261
23	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$608	$524	$202	39%	—	$314 – $762
24	Bcbs Nj fee schedule · outpatient · +2 other terms	12	$657	$700	$314	45%	—	$152 – $1.0k
25	Cigna Healthspring fee schedule · both · +1 other terms	12	$170	$170	$2	1%	—	$170 – $178

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