CPT 95975
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
Fee Schedule
Low
$75
Average
$344
Median
$127
High
$2.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 8.7× 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 · +4 other terms | 34 | $790 | $1.3k | $1.3k | 105% | — | $790 – $8.3k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 31 | $450 | $537 | $226 | 42% | — | $85 – $1.1k |
| 3 | Anthem fee schedule · outpatient · +3 other terms | 20 | $112 | $114 | $16 | 14% | — | $90 – $202 |
| 4 | Wellmark fee schedule · both | 13 | $170 | $170 | $11 | 7% | — | $162 – $186 |
| 5 | Highmark fee schedule · outpatient · +2 other terms | 10 | $91 | $91 | $3 | 3% | — | $83 – $92 |
| 6 | Cigna fee schedule · both · +1 other terms | 6 | $172 | $236 | $98 | 42% | — | $172 – $423 |
| 7 | Aetna fee schedule · outpatient · +3 other terms | 5 | $458 | $719 | $467 | 65% | — | $302 – $1.4k |
| 8 | First Health fee schedule · both | 5 | $105 | $105 | — | — | — | $105 – $105 |
| 9 | Medicaid fee schedule · outpatient | 3 | $90 | $90 | — | — | — | $90 – $90 |
| 10 | Molina fee schedule · outpatient · +1 other terms | 3 | $117 | $117 | $48 | 41% | — | $88 – $202 |
← Hospitals reporting CPT 95975 · Snapshot 20261113T090226Z-3ce6c0b8