CPT 95131
Low
$12
Average
$30
Median
$35
High
$39
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13 hospital rates
iThe hospitals that file a Medicaid 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 Los Angeles Angeles, CA facility · other · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 9 | NYU Langone New York, NY case rate · both | 15 | $39 | $39 | — | — | — | $39 – $39 |
| 10 | NYU Langone Mineola, NY case rate · both | 15 | $39 | $39 | — | — | — | $39 – $39 |
| 11 | NYU Langone Brooklyn, NY case rate · both | 15 | $39 | $39 | — | — | — | $39 – $39 |
| 12 | NYU Langone New York, NY case rate · both | 15 | $39 | $39 | — | — | — | $39 – $39 |
| 13 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $39 | $39 | — | — | — | $39 – $39 |
← Payers reporting CPT 95131 · Snapshot 20261113T090226Z-3ce6c0b8