CPT 87450
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
Ag detect nos ia single
Low
$3
Average
$37
Median
$13
High
$482
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
108 hospitals; the 90th percentile is 8.7× 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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124 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $14 | $14 | — | — | — | $14 – $14 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 4 | $5 | $5 | $0 | 7% | — | $5 – $6 |
| 4 | Ascension Seton Austin, TX fee schedule · both | 6 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Ascension Seton Austin, TX fee schedule · both | 6 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Ascension Seton Austin, TX fee schedule · both | 6 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Ascension Seton Luling, TX fee schedule · both | 6 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Ascension Seton Burnet, TX fee schedule · both | 6 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Ascension Seton Bastrop, TX fee schedule · both | 6 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Ascension Seton Austin, TX fee schedule · both | 6 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 3 | $10 | $10 | $0 | 5% | — | $10 – $11 |
| 15 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 3 | $10 | $10 | $0 | 5% | — | $10 – $11 |
| 17 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 3 | $10 | $10 | $0 | 5% | — | $10 – $11 |
| 19 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 3 | $10 | $10 | $0 | 5% | — | $10 – $11 |
| 20 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · fee schedule · outpatient | 3 | $10 | $10 | $0 | 5% | — | $10 – $11 |
| 22 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · fee schedule · outpatient | 3 | $10 | $10 | $0 | 5% | — | $10 – $11 |
| 23 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 24 | Baylor Scott & White Medical Center - Irving Irving, TX facility · fee schedule · outpatient | 3 | $10 | $10 | $0 | 5% | — | $10 – $11 |
| 25 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting CPT 87450 · Snapshot 20261113T090226Z-3ce6c0b8