CPT 95904
Low
$17
Average
$190
Median
$63
High
$1.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 24.1× 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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26 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 8 | $38 | $38 | $23 | 59% | — | $8 – $73 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $98 | $98 | $7 | 7% | — | $91 – $104 |
| 3 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $98 | $98 | $7 | 7% | — | $91 – $104 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $98 | $98 | $7 | 7% | — | $91 – $104 |
| 5 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $98 | $98 | $7 | 7% | — | $91 – $104 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $43 | $43 | $3 | 7% | — | $40 – $46 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $43 | $43 | $3 | 7% | — | $40 – $46 |
| 8 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 10 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | $7 | 40% | — | $9 – $25 |
| 14 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $53 | $52 | $21 | 40% | — | $27 – $78 |
| 15 | Doylestown Hospital Doylestown, PA facility · per diem · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $120 | $174 | $82 | 47% | — | $112 – $289 |
| 17 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $174 | $82 | 47% | — | $112 – $289 |
| 18 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $101 | $101 | $47 | 47% | — | $54 – $148 |
| 19 | HealthAlliance Hospital Kingston, NY facility · per diem · outpatient | 3 | $820 | $779 | $58 | 7% | — | $697 – $820 |
| 20 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 21 | Margaretville Memorial Hospital Margaretville, NY facility · per diem · outpatient | 3 | $820 | $779 | $58 | 7% | — | $697 – $820 |
| 22 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 23 | Monroe County Hospital Forsyth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 24 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 3 | $64 | $71 | $52 | 73% | — | $18 – $129 |
| 25 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 2 | $56 | $56 | $16 | 29% | — | $40 – $72 |
← Payers reporting CPT 95904 · Snapshot 20261113T090226Z-3ce6c0b8