CPT 90876
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
90876
Low
$0
Average
$141
Median
$180
High
$236
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33 hospital rates
iThe hospitals that file a Ambetter 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 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 3 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 5 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 11 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 13 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 14 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 15 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 16 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 17 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 18 | SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 20 | USA Health Children's & Women's Hospital Mobile, AL facility · case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 21 | USA Health University Hospital Mobile, AL facility · case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 22 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 23 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 24 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 25 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
← Payers reporting CPT 90876 · Snapshot 20261113T090226Z-3ce6c0b8