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
$96
Average
$244
Median
$141
High
$645
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 3.9× 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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8 hospital rates
iThe hospitals that file a Magellan 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 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $221 | $221 | — | — | — | $221 – $221 |
| 2 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 3 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $645 | $645 | — | — | — | $645 – $645 |
| 4 | University of Illinois Hospital & Clinics Chicago, IL professional · fee schedule · both | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 1 | $131 | $141 | $15 | 11% | — | $131 – $162 |
| 6 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 1 | $131 | $141 | $15 | 11% | — | $131 – $162 |
| 7 | Vanderbilt University Medical Center Nashville, TN fee schedule · both | 1 | $131 | $141 | $15 | 11% | — | $131 – $162 |
| 8 | Vanderbilt Wilson County Hospital Lebanon, TN fee schedule · both | 1 | $131 | $141 | $15 | 11% | — | $131 – $162 |
← Payers reporting CPT 90876 · Snapshot 20261113T090226Z-3ce6c0b8