CPT 90964
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 home pt serv p mo 2-11
Low
$561
Average
$920
Median
$566
High
$2.7k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 2.5× 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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17 hospital rates
iThe hospitals that file a First Health 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 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $566 | $566 | — | — | — | $566 – $566 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $566 | $566 | — | — | — | $566 – $566 |
| 5 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Jane Phillips Memorial Medical Center Bartlesville, OK fee schedule · both | 1 | $561 | $561 | — | — | — | $561 – $561 |
| 7 | Jane Phillips Nowata Hospital, Inc. Nowata, OK fee schedule · both | 1 | $561 | $561 | — | — | — | $561 – $561 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $2.7k | $2.7k | $28 | 1% | — | $2.7k – $2.7k |
| 9 | Owasso Medical Facility, Inc. Owasso, OK fee schedule · both | 1 | $561 | $561 | — | — | — | $561 – $561 |
| 10 | St. John Medical Center, Inc. Tulsa, OK fee schedule · both | 1 | $561 | $561 | — | — | — | $561 – $561 |
| 11 | St. John Sapulpa, Inc. Sapulpa, OK fee schedule · both | 1 | $561 | $561 | — | — | — | $561 – $561 |
| 12 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 15 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 16 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Webster Memorial Hospital Inc Cowen, WV professional · fee schedule · both | 1 | $566 | $566 | — | — | — | $566 – $566 |
← Payers reporting CPT 90964 · Snapshot 20261113T090226Z-3ce6c0b8