CPT 97158
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
Grp adapt bhv tx by phy/qhp
Low
$13
Average
$108
Median
$44
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 4.6× 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 | Aetna case rate · outpatient · +1 other terms | 47 | $31 | $120 | $110 | 91% | — | $28 – $263 |
| 2 | Molina facility · case rate · outpatient · +2 other terms | 43 | $101 | $93 | $65 | 70% | — | $20 – $280 |
| 3 | UnitedHealthcare case rate · outpatient · +1 other terms | 39 | $31 | $37 | $10 | 26% | — | $28 – $68 |
| 4 | Humana facility · case rate · outpatient · +1 other terms | 28 | $38 | $47 | $26 | 55% | — | $25 – $96 |
| 5 | Anthem facility · case rate · outpatient · +2 other terms | 26 | $155 | $110 | $64 | 59% | — | $25 – $280 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 23 | $158 | $127 | $73 | 58% | — | $26 – $285 |
| 7 | Optum facility · case rate · outpatient | 14 | $147 | $140 | $62 | 44% | — | $30 – $253 |
| 8 | WellCare case rate · outpatient · +1 other terms | 14 | $40 | $38 | $4 | 12% | — | $28 – $41 |
| 9 | Ambetter case rate · outpatient · +1 other terms | 13 | $45 | $36 | $18 | 50% | — | $0 – $50 |
| 10 | Blue Cross Blue Shield case rate · outpatient · +3 other terms | 12 | $40 | $605 | $1.5k | 243% | — | $27 – $5.0k |
← Hospitals reporting CPT 97158 · Snapshot 20261113T090226Z-3ce6c0b8