CPT 90875
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
90875
Low
$57
Average
$100
Median
$60
High
$366
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45 hospital rates
iThe hospitals that file a Kaiser 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 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 3 | $118 | $109 | $39 | 36% | — | $63 – $151 |
| 2 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 10 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $62 | $62 | — | — | — | $62 – $62 |
| 11 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 12 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 13 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 14 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $90 | $90 | $10 | 11% | — | $80 – $100 |
| 15 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $84 | $84 | $16 | 19% | — | $67 – $100 |
| 16 | Children's National Hospital Washington, DC professional · percent of total billed charges · bothfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 17 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 18 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 19 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 20 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 21 | Longs Peak Hospital Longmont, CO fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 22 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 4 | $213 | $213 | — | — | — | $213 – $213 |
| 23 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 4 | $322 | $322 | — | — | — | $322 – $322 |
| 24 | Medical Center of the Rockies Loveland, CO fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 25 | ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting CPT 90875 · Snapshot 20261113T090226Z-3ce6c0b8