CPT 75964
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
HC Pta Periph Each Addl Vsl S&I
Prices here combine facility and professional fees. See them separately →Experimental
Low
$105
Average
$1.4k
Median
$315
High
$25k
Showing only prices reported under the other methodology. Choose another in the filter below to change the chart. 27 hospitals; the 90th percentile is 12.9× 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.
Click a bar to filter the hospitals table to that price range.
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Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Gulf Coast Medical Center FORT MYERS, FL | $315 | $315 | — | — | — | $315 – $315 |
| 2 | Lee Memorial Hospital FORT MYERS, FL | $315 | $315 | — | — | — | $315 – $315 |
| 3 | Fairfield Medical Center Lancaster, OH | $25k | $25k | — | — | — | $25k – $25k |
| 4 | Healthpark Medical Center FORT MYERS, FL | $315 | $315 | — | — | — | $315 – $315 |
| 5 | Cape Coral Hospital CAPE CORAL, FL | $315 | $315 | — | — | — | $315 – $315 |
| 6 | St. Alexius Medical Center Estates, IL | $612 | $607 | $10 | 2% | — | $589 – $612 |
| 7 | Henry Ford Health Twp, MI | $264 | $264 | $175 | 66% | — | $89 – $440 |
| 8 | Henry Ford Health Township, MI | $243 | $243 | — | — | — | $243 – $243 |
| 9 | Childrens Hospital of Orange County - Profit Orange, CA | $2.5k | $2.7k | $1.5k | 57% | — | $654 – $7.2k |
| 10 | HealthAlliance Hospital Kingston, NY | $1.2k | $1.2k | $44 | 4% | — | $1.1k – $1.2k |
Ask Claude or any MCP client for CPT 75964 pricing at a specific hospital — see how to connect.