CPT 90958
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 2-3 vsts p mo 12-19
Low
$0
Average
$754
Median
$655
High
$2.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.9× 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 | $474 | $1.3k | $1.4k | 113% | — | $92 – $8.3k |
| 2 | Aetna fee schedule · outpatient · +20 other terms | 87 | $488 | $1.1k | $1.6k | 145% | — | $79 – $8.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 87 | $489 | $611 | $425 | 69% | — | $21 – $2.3k |
| 4 | Anthem fee schedule · outpatient · +14 other terms | 66 | $478 | $1.2k | $1.3k | 113% | — | $21 – $6.0k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 53 | $794 | $1.3k | $841 | 66% | — | $0 – $3.1k |
| 6 | Cigna fee schedule · outpatient · +17 other terms | 42 | $489 | $692 | $265 | 38% | — | $450 – $1.5k |
| 7 | Molina facility · case rate · outpatient · +14 other terms | 39 | $443 | $466 | $185 | 40% | — | $227 – $1.0k |
| 8 | WellCare fee schedule · both · +8 other terms | 35 | $440 | $487 | $130 | 27% | — | $274 – $792 |
| 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 | $489 | $563 | $204 | 36% | — | $450 – $1.1k |
← Hospitals reporting CPT 90958 · Snapshot 20261113T090226Z-3ce6c0b8