CPT 81458
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
So gsap dna cpy nmbr&mcrstl
Low
$179
Average
$1.0k
Median
$1.0k
High
$2.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 3.9× 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 | Molina facility · case rate · outpatient · +2 other terms | 41 | $213 | $565 | $610 | 108% | — | $70 – $2.1k |
| 2 | UnitedHealthcare case rate · outpatient · +1 other terms | 39 | $1.1k | $1.0k | $208 | 20% | — | $309 – $1.2k |
| 3 | Aetna case rate · outpatient · +1 other terms | 38 | $1.1k | $1.0k | $168 | 17% | — | $430 – $1.1k |
| 4 | Humana case rate · outpatient · +1 other terms | 28 | $1.1k | $1.1k | $23 | 2% | — | $1.0k – $1.1k |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 20 | $110 | $556 | $744 | 134% | — | $68 – $2.1k |
| 6 | Anthem facility · case rate · outpatient · +1 other terms | 19 | $106 | $343 | $407 | 119% | — | $68 – $1.0k |
| 7 | Optum facility · case rate · outpatient | 14 | $98 | $239 | $322 | 135% | — | $84 – $1.1k |
| 8 | WellCare case rate · outpatient · +1 other terms | 14 | $1.1k | $1.1k | $41 | 4% | — | $1.0k – $1.2k |
| 9 | Ambetter case rate · outpatient · +1 other terms | 13 | $1.5k | $1.2k | $627 | 50% | — | $0 – $1.7k |
| 10 | Wellmark case rate · outpatient · +1 other terms | 12 | $1.1k | $1.1k | $6 | 1% | — | $1.0k – $1.1k |
← Hospitals reporting CPT 81458 · Snapshot 20261113T090226Z-3ce6c0b8