CPT 95904
Low
$165
Average
$165
Median
$165
High
$165
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2 hospital rates
iThe hospitals that file a Aetna Better 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 | Alexian Brothers Medical Center Village, IL fee schedule · inpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 2 | St. Alexius Medical Center Estates, IL fee schedule · inpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
← Payers reporting CPT 95904 · Snapshot 20261113T090226Z-3ce6c0b8