CPT 90889
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
Preparation of report
Low
$32
Average
$63
Median
$49
High
$312
Filter by billing methodology
Filter by billing class
21 hospital rates
iThe hospitals that file a Optum 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 | $33 | $33 | — | — | — | $33 – $33 |
| 2 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 3 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 9 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 10 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 12 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 14 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 16 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 17 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 18 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 19 | University of Illinois Hospital & Clinics Chicago, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 20 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 21 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
← Payers reporting CPT 90889 · Snapshot 20261113T090226Z-3ce6c0b8