CPT 90957
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
Esrd srv 4 vsts p mo 12-19
Low
$0
Average
$1.3k
Median
$1.1k
High
$5.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 3.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +20 other terms | 187 | $728 | $1.9k | $2.0k | 108% | — | $92 – $8.3k |
| 2 | Aetna fee schedule · outpatient · +20 other terms | 87 | $739 | $1.4k | $1.8k | 125% | — | $79 – $11.2k |
| 3 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 87 | $749 | $867 | $479 | 55% | — | $21 – $2.3k |
| 4 | Anthem fee schedule · outpatient · +14 other terms | 66 | $725 | $1.8k | $2.0k | 114% | — | $21 – $9.2k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 53 | $1.2k | $1.9k | $1.3k | 66% | — | $0 – $4.8k |
| 6 | Cigna fee schedule · outpatient · +17 other terms | 42 | $749 | $1.1k | $408 | 38% | — | $692 – $2.2k |
| 7 | Molina facility · case rate · outpatient · +14 other terms | 39 | $443 | $562 | $329 | 59% | — | $227 – $1.6k |
| 8 | WellCare fee schedule · both · +8 other terms | 35 | $677 | $733 | $223 | 30% | — | $274 – $1.2k |
| 9 | Bcbs Tx per diem · outpatient · +1 other terms | 30 | $502 | $493 | $92 | 19% | — | $314 – $663 |
| 10 | Kaiser fee schedule · outpatient · +9 other terms | 26 | $749 | $865 | $314 | 36% | — | $692 – $1.6k |
← Hospitals reporting CPT 90957 · Snapshot 20261113T090226Z-3ce6c0b8