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
$89
Average
$713
Median
$119
High
$17.5k
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 2.2× 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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44 hospital rates
iThe hospitals that file a Oscar 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 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Fairfield Medical Center 401 N Ewing St facility · per diem · outpatient | 1 | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 4 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 5 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 6 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 7 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 8 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 9 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 10 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 11 | Mayo Clinic Health System Waseca 56093-2811 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 12 | Mayo Clinic Health System Cannon Falls 55009-5003 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 13 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 14 | Montefiore Medical Center Bronx, NY fee schedule · both | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 15 | St Luke's Hospital - Allentown Campus Allentown, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 16 | St Luke's Hospital - Allentown Campus Allentown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 17 | St Luke's Hospital - Anderson Campus Easton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 18 | St Luke's Hospital - Anderson Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 19 | St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 20 | St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 21 | St Luke's Hospital - Carbon Campus Lehighton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 22 | St Luke's Hospital - Carbon Campus Lehighton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 23 | St Luke's Hospital - Easton Campus Easton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 24 | St Luke's Hospital - Easton Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 25 | St Luke's Hospital - Lehighton Campus Lehighton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
← Payers reporting CPT 90875 · Snapshot 20261113T090226Z-3ce6c0b8